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1205165271
DEREK J. BACA
WEST LAKE HILLS, TX
NPI
1205165271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 53019)
Enumeration Date
2009-12-21
Last Update Date
2022-01-30
Business Address
DEREK J. BACA LCSW
3355 BEE CAVES RD STE 605
WEST LAKE HILLS, TX 78746-6681
Phone number: 512-423-2892
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Mailing Address
DEREK J. BACA LCSW
3603 SUMMIT BND UNIT B
AUSTIN, TX 78759-8945
Phone number: 512-423-2892
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