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1730658311
BRYAN LEVENSON
GRASS VALLEY, CA
NPI
1730658311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-11-13
Last Update Date
2018-11-13
Business Address
BRYAN LEVENSON
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-273-2244
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Mailing Address
BRYAN LEVENSON
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number:
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