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1225175987
TERRANCE ALLEN MOCK
SAN BERNARDINO, CA
NPI
1225175987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFC32821)
Enumeration Date
2007-01-31
Last Update Date
2011-11-18
Business Address
Mr. TERRANCE ALLEN MOCK MFT
2080 S E ST
SAN BERNARDINO, CA 92408-2773
Phone number: 909-388-9191
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Mailing Address
Mr. TERRANCE ALLEN MOCK MFT
1565 CHRISTOPHER LN
REDLANDS, CA 92374-4246
Phone number: 909-421-9370
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