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Individual

MS. BRIANNA DECOTEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
916 MCHENRY, MODESTO, CA 95350
(209) 550-5850
Mailing address
4122 PICCADILLY LN, TURLOCK, CA 95382-7343

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/23/2010
Last updated
09/23/2010
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