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1790061281
STEPHANIE LYNN BROOKS
CARMICHAEL, CA
NPI
1790061281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 03-039637)
Enumeration Date
2011-10-27
Last Update Date
2011-10-27
Business Address
-- STEPHANIE LYNN BROOKS
6127 FAIR OAKS BLVD
CARMICHAEL, CA 95608
Phone number: 916-974-8090
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Mailing Address
-- STEPHANIE LYNN BROOKS
310 HARRIS AVE SUITE A
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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