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1043483928
MICKEY LIDDEKE
MURRIETA, CA
NPI
1043483928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC44069)
Enumeration Date
2008-04-10
Last Update Date
2009-11-20
Business Address
-- MICKEY LIDDEKE
24977 WASHINGTON AVE STE. K
MURRIETA, CA 92562-9755
Phone number: 951-677-1470
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Mailing Address
-- MICKEY LIDDEKE
2311 WASHINGTON AVE. C110-223
MURRIETA, CA 92564-2564
Phone number: 951-677-1470
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