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1780194902
BROOKLYN LANAE BROCKWAY
TULARE, CA
NPI
1780194902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 109982)
Enumeration Date
2017-10-02
Last Update Date
2021-11-15
Business Address
BROOKLYN LANAE BROCKWAY AMFT
327 S K ST
TULARE, CA 93274-5416
Phone number: 559-688-2043
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Mailing Address
BROOKLYN LANAE BROCKWAY AMFT
711 N COURT ST
VISALIA, CA 93291-3638
Phone number: 559-627-1490
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