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1225289176
BRENDA SUE RUSSELL
SAN LUIS OBISPO, CA
NPI
1225289176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-10-08
Last Update Date
2018-04-16
Business Address
BRENDA SUE RUSSELL AOD counselor
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-4973
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Mailing Address
BRENDA SUE RUSSELL AOD counselor
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-4973
Copy
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