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1619585296
AUTUMN MICHELLE BROCK
CHICO, CA
NPI
1619585296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-07-20
Last Update Date
2020-07-20
Business Address
AUTUMN MICHELLE BROCK MSW
590 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-345-3491
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Mailing Address
AUTUMN MICHELLE BROCK MSW
1632 LAUREL ST
CHICO, CA 95928-6655
Phone number: 530-852-1814
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