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1285331355
STACY BRODEHL
FRESNO, CA
NPI
1285331355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-02-09
Last Update Date
2023-02-09
Business Address
STACY BRODEHL caade 26353
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096
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Mailing Address
STACY BRODEHL caade 26353
2445 W WHITES BRIDGE AVE
FRESNO, CA 93706-1225
Phone number: 559-264-5096
Copy
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