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1184255150
BRENDA WOODWARD
GRASS VALLEY, CA
NPI
1184255150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA R1376840120)
Enumeration Date
2020-01-29
Last Update Date
2020-01-29
Business Address
BRENDA WOODWARD RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
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Mailing Address
BRENDA WOODWARD RADT
159 BRENTWOOD DR
GRASS VALLEY, CA 95945-5703
Phone number: 530-271-1140
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