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1760675904
BRIANNE DEWITT GOUDELOCK
NORTHRIDGE, CA
NPI
1760675904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-08-21
Last Update Date
2007-08-21
Business Address
-- BRIANNE DEWITT GOUDELOCK
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
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Mailing Address
-- BRIANNE DEWITT GOUDELOCK
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number:
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