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Individual

BROOKE DANIELLE SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6621 STEPHENS RANCH RD, LA VERNE, CA 91750-1146
(909) 596-7484
(909) 593-4750
Mailing address
6621 STEPHENS RANCH RD, LA VERNE, CA 91750-1146
(909) 596-7484
(909) 593-4750

Taxonomy

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

Other

Enumeration date
06/18/2015
Last updated
06/18/2015
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