Individual
BROOKELYN RENEE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9871 SKYLAND CT, FONTANA, CA 92335-7843
(909) 471-3926
Mailing address
9871 SKYLAND CT, FONTANA, CA 92335-7843
(909) 471-3926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RW6108
CA
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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