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1144841271
BRIAN KEITH WOLFF
VALLEJO, CA
NPI
1144841271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 10467)
Enumeration Date
2020-04-29
Last Update Date
2020-04-29
Business Address
BRIAN KEITH WOLFF
627 GRANT ST
VALLEJO, CA 94590-7228
Phone number: 707-553-1042
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Mailing Address
BRIAN KEITH WOLFF
1045 GEORGE ST #B
VALLEJO, CA 94590
Phone number: 707-246-1689
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