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1942465075
RICHARD BROUILLETTE
SAN DIEGO, CA
NPI
1942465075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 80293)
Enumeration Date
2008-07-29
Last Update Date
2018-08-17
Business Address
Mr. RICHARD BROUILLETTE LCSW
2816 ADAMS AVE
SAN DIEGO, CA 92116
Phone number: 917-826-2545
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Mailing Address
Mr. RICHARD BROUILLETTE LCSW
2816 ADAMS AVE
SAN DIEGO, CA 92116-1401
Phone number: 917-826-2545
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