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1063721066
TERRY J BRENNER
WHITE CITY, OR
NPI
1063721066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 2083)
Enumeration Date
2010-09-25
Last Update Date
2010-09-25
Business Address
Dr. TERRY J BRENNER Psy.D.
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
Dr. TERRY J BRENNER Psy.D.
9355 JORNADA LN APT 6
ATASCADERO, CA 93422-5859
Phone number: 503-999-9894
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