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1649499203
CRAIG ALAN CHILDRESS
LA VERNE, CA
NPI
1649499203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY 18857)
Enumeration Date
2007-04-24
Last Update Date
2008-08-05
Business Address
Dr. CRAIG ALAN CHILDRESS Psy.D.
2124 BOGIE DR
LA VERNE, CA 91750-1303
Phone number: 909-821-5398
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Mailing Address
Dr. CRAIG ALAN CHILDRESS Psy.D.
2124 BOGIE DR.
LA VERNE, CA 91750-5144
Phone number: 909-821-5398
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