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1053160499
DERRICK SAMUEL PEGG
CHARLOTTE, NC
NPI
1053160499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C017160)
Enumeration Date
2024-05-17
Last Update Date
2024-05-17
Business Address
DERRICK SAMUEL PEGG LCSW
2821 IRON GATE LN
CHARLOTTE, NC 28212-2601
Phone number: 704-352-9895
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Mailing Address
DERRICK SAMUEL PEGG LCSW
2821 IRON GATE LN
CHARLOTTE, NC 28212-2601
Phone number: 704-352-9895
Copy
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