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1922508670
BRENNA LEANN HALLIDAY
MODESTO, CA
NPI
1922508670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
BRENNA LEANN HALLIDAY
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number: 209-404-8168
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Mailing Address
BRENNA LEANN HALLIDAY
1235 MCHENRY AVE
MODESTO, CA 95350-5370
Phone number:
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