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1093158057
LISA BRANDT
STOCKTON, CA
NPI
1093158057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA B112052209)
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
-- LISA BRANDT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-5487
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Mailing Address
-- LISA BRANDT
1212 N CALIFORNIA ST
STOCKTON, CA 95202-1552
Phone number: 209-953-5487
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