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1184247249
CANDICE YVONNE LEM BROTHERTON
RANCHO CUCAMONGA, CA
NPI
1184247249
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Former Name
CANDICE YVONNE LEM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 1497)
Enumeration Date
2020-05-24
Last Update Date
2020-05-26
Business Address
Mrs. CANDICE YVONNE LEM BROTHERTON APCC
9479 HAVEN AVE
RANCHO CUCAMONGA, CA 91730-5844
Phone number: 909-771-8023
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Mailing Address
Mrs. CANDICE YVONNE LEM BROTHERTON APCC
10486 ALTA LOMA DR
RANCHO CUCAMONGA, CA 91737-3847
Phone number: 626-733-1204
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