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Individual
MR. NICHOLAS PETER DACH
Active
Individual
MR. NICHOLAS PETER DACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 18633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001079
FRESNO COUNTY MEDICAL
CA
01
—
LCS 18633
L.C.S.W. LICENSE NUMBER
CA
Enumeration date
06/24/2006
Last updated
01/31/2009
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