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1013676741
JENNIFER DERRICK
SHREVEPORT, LA
NPI
1013676741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-12-09
Last Update Date
2022-01-04
Business Address
JENNIFER DERRICK
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105-4988
Phone number: 318-759-7876
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Mailing Address
JENNIFER DERRICK
7330 FERN AVE STE 1003
SHREVEPORT, LA 71105-4988
Phone number:
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