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Individual

MICHAEL JAMES BADER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.H.

Contact information

Practice address
5748 N HERMITAGE AVE UNIT 102, CHICAGO, IL 60660-5779
(415) 385-9845
Mailing address
5748 N HERMITAGE AVE UNIT 102, CHICAGO, IL 60660-5779
(415) 385-9845

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8142
CA

Other

Enumeration date
09/13/2021
Last updated
09/13/2021
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