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1871001362
DERICK SCHULTZ
LAKE ELSINORE, CA
NPI
1871001362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
DERICK SCHULTZ
265 SAN JACINTO RIVER RD STE 107
LAKE ELSINORE, CA 92530-4400
Phone number: 951-674-9243
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Mailing Address
DERICK SCHULTZ
265 SAN JACINTO RIVER RD STE 107
LAKE ELSINORE, CA 92530-4400
Phone number: 951-674-9243
Copy
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