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1205881885
SUSAN P. DETRICK
SAN JOSE, CA
NPI
1205881885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY5071)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
-- SUSAN P. DETRICK PhD
1555 PARKMOOR AVE
SAN JOSE, CA 95128-2407
Phone number: 408-282-0402
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Mailing Address
-- SUSAN P. DETRICK PhD
1555 PARKMOOR AVE
SAN JOSE, CA 95128-2407
Phone number: 408-282-0402
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