Liddeke, Mickey
Liddeke, Mickey is an sole proprietor health care provider with primary practice located at 24977 Washington Ave Ste. K, Murrieta CA 92562-9755. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Liddeke, Mickey can be contacted via phone (951) 677-1470.Contact Information
Primary practice address
24977 Washington Ave Ste. K
Murrieta CA 92562-9755
Phone: (951) 677-1470
Fax: (951) 677-3850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC44069 | California |
Profile Details
| NPI number | 1043483928 |
|---|---|
| LBN Legal business name | Liddeke, Mickey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2008 |
| Last updated | Nov 20th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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