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Individual

MS. CHEAUVON LATRICE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RADT

Contact information

Practice address
1735 ENTERPRISE DR, FAIRFIELD, CA 94533-6822
(707) 425-1799
Mailing address
1735 ENTERPRISE DR, FAIRFIELD, CA 94533-6822
(707) 425-1799

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
911861042
BUISNESS
CA
Enumeration date
11/20/2017
Last updated
11/20/2017
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