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1700357969
COREY BROWN
SAN RAFAEL, CA
NPI
1700357969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
Mr. COREY BROWN
291 SMITH RANCH RD
SAN RAFAEL, CA 94903-2093
Phone number: 415-492-0818
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Mailing Address
Mr. COREY BROWN
1034 CAPTAINS TABLE RD APT 28
SACRAMENTO, CA 95822-1775
Phone number: 916-247-5692
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