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1194006296
ERICH STEPHEN HAEZEBROUCK
WHEAT RIDGE, CO
NPI
1194006296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA 32789)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2011-09-01
Last Update Date
2022-01-20
Business Address
ERICH STEPHEN HAEZEBROUCK PsyD
4851 INDEPENDENCE ST SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300
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Mailing Address
ERICH STEPHEN HAEZEBROUCK PsyD
41856 IVY ST STE 205
MURRIETA, CA 92562-8805
Phone number: 951-468-0265
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