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1528830429
BRENNA SHAW
RESEDA, CA
NPI
1528830429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA r1511350623)
Enumeration Date
2023-10-24
Last Update Date
2023-10-24
Business Address
BRENNA SHAW RADT-1
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897
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Mailing Address
BRENNA SHAW RADT-1
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897
Copy
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