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1497970180
DANA R WACKERLY
SACRAMENTO, CA
NPI
1497970180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: CA PSY14648)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
DANA R WACKERLY PH.D.
3445 AMERICAN RIVER DR SUITE B
SACRAMENTO, CA 95864-5744
Phone number: 916-973-8928
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Mailing Address
DANA R WACKERLY PH.D.
3445 AMERICAN RIVER DR SUITE B
SACRAMENTO, CA 95864-5744
Phone number: 916-973-8928
Copy
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