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1063877132
BRIAN LYTTLE
ELK GROVE, CA
NPI
1063877132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-12-16
Last Update Date
2015-12-16
Business Address
-- BRIAN LYTTLE
9514 CONEY ISLAND CIR
ELK GROVE, CA 95758-3646
Phone number: 916-206-9242
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Mailing Address
-- BRIAN LYTTLE
9514 CONEY ISLAND CIR
ELK GROVE, CA 95758-3646
Phone number: 916-206-9242
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