TRACY DERN

COALINGA, CA
NPI1215121678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TF0200X Psychologist, Forensic
(Licence: CA  PSY20534)
Enumeration Date2007-08-29
Last Update Date2007-08-29
Business Address
-- TRACY DERN PSYCH
24511 W JAYNE AVE
COALINGA, CA 93210-9503
Phone number: 559-935-4301
Mailing Address
-- TRACY DERN PSYCH
1600 9TH ST ROOM 205 MAILSTOP 2-3
SACRAMENTO, CA 95814-6404
Phone number: 916-654-2431
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