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1124109442
CARL MICHAEL KERCKHOFF
ORANGE, CA
NPI
1124109442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 17976)
Enumeration Date
2006-10-17
Last Update Date
2019-03-20
Business Address
Dr. CARL MICHAEL KERCKHOFF Ph.D.
670 N RICK ST
ORANGE, CA 92869-2663
Phone number: 949-412-8818
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Mailing Address
Dr. CARL MICHAEL KERCKHOFF Ph.D.
PO BOX 12371
ORANGE, CA 92859-8371
Phone number: 949-412-8818
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