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1770181604
LIETTA DIANA BRUTSCHE
TUSTIN, CA
NPI
1770181604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A057610720)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
LIETTA DIANA BRUTSCHE CADC II
13682 YORBA ST
TUSTIN, CA 92780-1831
Phone number: 714-730-5399
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Mailing Address
LIETTA DIANA BRUTSCHE CADC II
13682 YORBA ST
TUSTIN, CA 92780-1831
Phone number: 714-730-5399
Copy
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