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1467726745
CANDICE LYNN BROCKETT
INGLEWOOD, CA
NPI
1467726745
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: CA CAS10488)
Enumeration Date
2012-03-03
Last Update Date
2012-03-03
Business Address
-- CANDICE LYNN BROCKETT
3211 W IMPERIAL HWY
INGLEWOOD, CA 90303-2810
Phone number: 310-419-9616
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Mailing Address
-- CANDICE LYNN BROCKETT
3211 W IMPERIAL HWY
INGLEWOOD, CA 90303-2810
Phone number:
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