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1740066133
DOREL LAMONT BACA
OAKLAND, CA
NPI
1740066133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-09-01
Last Update Date
2023-09-01
Business Address
Mr. DOREL LAMONT BACA MSW Intern
1411 E 31ST ST
OAKLAND, CA 94602-1092
Phone number: 510-501-9347
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Mailing Address
Mr. DOREL LAMONT BACA MSW Intern
247 SEQUOYAH VIEW DR
OAKLAND, CA 94605-4910
Phone number: 510-501-9347
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