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1558844845
THERESA LOUISE BROOKS
HAWTHORNE, CA
NPI
1558844845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
Ms. THERESA LOUISE BROOKS RADT
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3317
Phone number: 323-754-2816
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Mailing Address
Ms. THERESA LOUISE BROOKS RADT
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-679-9126
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