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1003231473
SETH THOMAS DERRICK
GRASS VALLEY, CA
NPI
1003231473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-02-21
Last Update Date
2021-06-07
Business Address
SETH THOMAS DERRICK
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-802-6993
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Mailing Address
SETH THOMAS DERRICK
900 E MAIN ST STE 201
GRASS VALLEY, CA 95945-5853
Phone number: 530-802-6993
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