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1003985979
DEREN LELAND MIKELS
RIVERSIDE, CA
NPI
1003985979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS20881)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
-- DEREN LELAND MIKELS LCSW
5015 CANYON CREST DR SUITE 102
RIVERSIDE, CA 92507
Phone number: 951-529-3692
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Mailing Address
-- DEREN LELAND MIKELS LCSW
5015 CANYON CREST DR SUITE 102
RIVERSIDE, CA 92507
Phone number: 951-529-3692
Copy
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