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1477374486
BRANDON JAMES SMALLWOOD
FONTANA, CA
NPI
1477374486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 122766)
Enumeration Date
2024-10-22
Last Update Date
2024-10-22
Business Address
BRANDON JAMES SMALLWOOD
16823 ARROW BLVD
FONTANA, CA 92335-3803
Phone number: 909-355-3888
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Mailing Address
BRANDON JAMES SMALLWOOD
16823 ARROW BLVD
FONTANA, CA 92335-3803
Phone number:
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