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1780159855
MARK BRONNENBERG
OAKLAND, CA
NPI
1780159855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS16497)
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
MARK BRONNENBERG MSW
6239 COLLEGE AVE STE 304
OAKLAND, CA 94618-1384
Phone number: 510-703-3392
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Mailing Address
MARK BRONNENBERG MSW
576 MARTIN ST
OAKLAND, CA 94609-1567
Phone number: 510-703-3392
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