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Individual

RICK EDWARD BEBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
714 WEST ST., GRASS VALLEY, CA 95945
(530) 477-9800
(530) 477-9803
Mailing address
714 WEST ST., GRASS VALLEY, CA 95945
(530) 477-9800
(530) 477-9803

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Enumeration date
10/15/2008
Last updated
10/15/2008
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