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1871062950
MANDY S. DELOIS BRANTLEY
SAN RAFAEL, CA
NPI
1871062950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-11-18
Last Update Date
2022-08-15
Business Address
MANDY S. DELOIS BRANTLEY MS
1477 LINCOLN AVE
SAN RAFAEL, CA 94901-2028
Phone number: 334-692-4455
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Mailing Address
MANDY S. DELOIS BRANTLEY MS
3014 FRUITVALE AVE APT 10
OAKLAND, CA 94602-2150
Phone number: 334-791-1703
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