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1689161341
DERIC THOMAS PLACKER
MOJAVE, CA
NPI
1689161341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 114766)
Enumeration Date
2018-04-18
Last Update Date
2023-07-20
Business Address
DERIC THOMAS PLACKER MA
16940 CA-14
MOJAVE, CA 93501
Phone number: 661-749-6087
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Mailing Address
DERIC THOMAS PLACKER MA
43520 DIVISION ST
LANCASTER, CA 93535-4089
Phone number: 661-949-1206
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