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Individual

BRANGWYN URSULA FOLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
838 BEACH COURT, LOTUS, CA 95651
(530) 626-7252
Mailing address
3101 GARDEN CIR APT 20, CAMERON PARK, CA 95682-8525
(530) 727-4002

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1445230921
CA

Other

Enumeration date
07/12/2022
Last updated
07/12/2022
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