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1346940491
BRAVE SPACE PSYCHOTHERAPY
OAKLAND, CA
NPI
1346940491
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Entity Type
Organization
Authorized Contact
RONI KHOL
Owner
510-500-5470
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
Enumeration Date
2023-03-07
Last Update Date
2024-10-19
Business Address
BRAVE SPACE PSYCHOTHERAPY
5665 COLLEGE AVE STE 240E
OAKLAND, CA 94618-1647
Phone number: 510-500-5470
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Mailing Address
BRAVE SPACE PSYCHOTHERAPY
5665 COLLEGE AVE STE 240E
OAKLAND, CA 94618-1647
Phone number: 510-500-5470
Copy
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