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Individual

DAVID MILES PICKENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
4944 WINDPLAY DR STE 320, EL DORADO HILLS, CA 95762-9310
(916) 933-4195
Mailing address
4944 WINDPLAY DR STE 320, EL DORADO HILLS, CA 95762-9310
(916) 933-4195

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY18980
CA

Other

Enumeration date
11/06/2021
Last updated
11/06/2021
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