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1316289978
BROOKELYN RENEE WARD
FONTANA, CA
NPI
1316289978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA RW6108)
Enumeration Date
2013-03-21
Last Update Date
2013-03-21
Business Address
BROOKELYN RENEE WARD
9871 SKYLAND CT
FONTANA, CA 92335-7843
Phone number: 909-471-3926
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Mailing Address
BROOKELYN RENEE WARD
9871 SKYLAND CT
FONTANA, CA 92335-7843
Phone number: 909-471-3926
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