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1134348139
ALICE FREDERICKA BRANAM
FRESNO, CA
NPI
1134348139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- ALICE FREDERICKA BRANAM msw
3312 E SIERRA MADRE AVE APT F
FRESNO, CA 93726-0624
Phone number: 559-229-6822
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Mailing Address
-- ALICE FREDERICKA BRANAM msw
3312 E SIERRA MADRE AVE APT 4
FRESNO, CA 93726-0624
Phone number: 559-229-6822
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