BRENNA SHAW

RESEDA, CA
NPI1528830429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1511350623)
Enumeration Date2023-10-24
Last Update Date2023-10-24
Business Address
BRENNA SHAW RADT-1
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897
Mailing Address
BRENNA SHAW RADT-1
7101 BAIRD AVE
RESEDA, CA 91335-4150
Phone number: 818-342-5897
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