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1679841779
BRANDI LEE MASSENGALE CUELLAR
SAN LUIS OBISPO, CA
NPI
1679841779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA catc # 102505)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
-- BRANDI LEE MASSENGALE CUELLAR C.A.T.C.
2494 PENNINGTON CREEK RD
SAN LUIS OBISPO, CA 93405-7841
Phone number: 805-782-7258
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Mailing Address
-- BRANDI LEE MASSENGALE CUELLAR C.A.T.C.
691 HERMOSA CT
GROVER BEACH, CA 93433-2932
Phone number: 805-748-0067
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