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Individual

DR. GRACE A BICKHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
665 N D ST, SAN BERNARDINO, CA 92401-1109
(909) 708-8158
(909) 881-3479
Mailing address
1963 N E ST, SAN BERNARDINO, CA 92405-3919
(909) 708-8158
(909) 881-3479

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IN PROGRESS
LA

Other

Enumeration date
11/29/2016
Last updated
06/26/2023
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