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Individual

MR. ALEXANDER BRICKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
1120 S DORA ST, UKIAH, CA 95482-6340
(707) 472-2319
(707) 472-2307
Mailing address
657 N BUSH ST, UKIAH, CA 95482-3914
(707) 228-6760

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
12/18/2006
Last updated
12/11/2012
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