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1003555640
BRANDY LUISSHA BAGGETT
ROSEVILLE, CA
NPI
1003555640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
BRANDY LUISSHA BAGGETT
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661-3559
Phone number: 916-786-3750
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Mailing Address
BRANDY LUISSHA BAGGETT
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661-3559
Phone number: 916-786-3750
Copy
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