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1023559028
LAVENIA BROWN
SAN RAFAEL, CA
NPI
1023559028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-03-10
Last Update Date
2017-03-10
Business Address
-- LAVENIA BROWN
1466 LINCOLN AVE
SAN RAFAEL, CA 94901-2021
Phone number: 415-457-3755
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Mailing Address
-- LAVENIA BROWN
64 TAHOE CIR
NOVATO, CA 94947-5236
Phone number: 415-457-3755
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