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1174689863
BRET PAUL WANGAN
ROSEVILLE, CA
NPI
1174689863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 20785)
Enumeration Date
2006-12-28
Last Update Date
2011-05-13
Business Address
Mr. BRET PAUL WANGAN LCSW
970 RESERVE DR SUITE 205
ROSEVILLE, CA 95678-1376
Phone number: 916-780-1070
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Mailing Address
Mr. BRET PAUL WANGAN LCSW
4327 GOLDEN CENTER DR
PLACERVILLE, CA 95667-6287
Phone number: 530-621-7322
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