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1578945226
BROOKE DANIELLE SULLIVAN
LA VERNE, CA
NPI
1578945226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-06-18
Last Update Date
2015-06-18
Business Address
-- BROOKE DANIELLE SULLIVAN
6621 STEPHENS RANCH RD
LA VERNE, CA 91750-1146
Phone number: 909-596-7484
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Mailing Address
-- BROOKE DANIELLE SULLIVAN
6621 STEPHENS RANCH RD
LA VERNE, CA 91750-1146
Phone number: 909-596-7484
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