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1023443892
DERRICK SMITH
LAS VEGAS, NV
NPI
1023443892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-09-11
Last Update Date
2013-09-11
Business Address
-- DERRICK SMITH
1866 GREEN RIVER ST
LAS VEGAS, NV 89142-1273
Phone number: 256-690-9241
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Mailing Address
-- DERRICK SMITH
1866 GREEN RIVER ST
LAS VEGAS, NV 89142-1273
Phone number: 256-690-9241
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