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Individual
KIMBERLE RUSK DEANDA
Active
Individual
KIMBERLE RUSK DEANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFT, BCBA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFT47478
CA
103K00000X
Behavior Analyst
BACB525296
NULL
106H00000X
Marriage & Family Therapist
Primary
MFC 47478
CA
Other
Enumeration date
03/13/2007
Last updated
07/24/2023
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