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Individual
MR. DEREK JAMES BALDRIDGE
Active
Individual
MR. DEREK JAMES BALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW79801
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2012
Last updated
03/17/2018
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