Individual
MS. BECKY SUE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.A.S. 1997
Contact information
Practice address
559 MENDOCINO CT, ATWATER, CA 95301-4230
(209) 357-5200
(209) 357-5279
Mailing address
559 MENDOCINO CT, ATWATER, CA 95301-4230
(209) 357-5200
(209) 357-5279
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
CAS 02979598
CA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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