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Licensing details for: 94028960

Name: SPENCER, DANTE M

License Type: Registered Psychological Associate

Primary Status: Registration Renewed & Current Primary Status Definition

Address of Record

3450 Palmer Dr Ste 4-296
CAMERON PARK CA 95682-8253
EL DORADO county
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Issuance Date

June 6, 2025

Expiration Date

June 6, 2026

Current Date / Time

August 25, 2025
3:39:23 AM

License Relationships

Registered Psychological Associate supervised by Licensed Psychologist

License/Registration Role: Registered Psychological Associate

Related Party Role: Licensed Psychologist

Name: ETTENSOHN, MARK D

License/Registration Type: Psychologist

License Number: 25461 Primary Status: License Renewed & Current

Address :
3450 Palmer Dr Ste 4-296
CAMERON PARK CA 95682-8253
EL DORADO COUNTY

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