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1083981369
BRIAN KELLY SPROAT
SAN BERNARDINO, CA
NPI
1083981369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA LMFT130604)
Enumeration Date
2011-11-30
Last Update Date
2023-03-10
Business Address
Mr. BRIAN KELLY SPROAT LMFT
1845 BUSINESS CENTER DR
SAN BERNARDINO, CA 92408-3467
Phone number: 951-731-4484
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Mailing Address
Mr. BRIAN KELLY SPROAT LMFT
2833 MILL CREEK RD
MENTONE, CA 92359-9574
Phone number: 951-222-3006
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