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1780744995
KEITH JEROME DELAERE
FRESNO, CA
NPI
1780744995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 17721)
Enumeration Date
2006-12-11
Last Update Date
2022-01-19
Business Address
Mr. KEITH JEROME DELAERE LCSW
4785 N 1ST ST
FRESNO, CA 93726-0513
Phone number: 559-448-5251
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Mailing Address
Mr. KEITH JEROME DELAERE LCSW
4785 N 1ST ST
FRESNO, CA 93726-0513
Phone number: 559-448-5251
Copy
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