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Individual

BRIANNA J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
743 E TABOR AVE, FAIRFIELD, CA 94533-4046
(707) 384-7485
Mailing address
2296 EMERSON PL, FAIRFIELD, CA 94533-2657

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
04/13/2023
Last updated
04/13/2023
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