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Search › California › 390200000X

John Liedecke

NPI 1952829814 · on the registry since 2017 · sole proprietor

Practice

Address
20 N San Pedro Rd Ste 2021
San Rafael, CA 94903
Phone
(936) 661-2198
Organisation at this address
Marin County Tcm Program
County Of Marin Community Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2017-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California