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Individual
BILL RAY DEATHERAGE
Active
Individual
BILL RAY DEATHERAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., MFTI
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S0993236
CA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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