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1013036607
THEODORE R DEROCHE
OCALA, FL
NPI
1013036607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH50)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
-- THEODORE R DEROCHE PhD
2760 SE 17TH STREET SUITE 300
OCALA, FL 34471
Phone number: 352-629-4113
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Mailing Address
-- THEODORE R DEROCHE PhD
701 NORTH CENTRAL AVE
FLAGLER BEACH, FL 32136
Phone number: 386-439-1403
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