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1669971750
BRIANNA ALYSE DOUGLAS
SAN LEANDRO, CA
NPI
1669971750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-05
Last Update Date
2018-02-07
Business Address
BRIANNA ALYSE DOUGLAS
2200 BANCROFT AVE
SAN LEANDRO, CA 94577-6108
Phone number: 510-287-6852
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Mailing Address
BRIANNA ALYSE DOUGLAS
2901 SHORT ST
OAKLAND, CA 94619-1119
Phone number: 510-287-6852
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