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1053657296
DEREK JAMES PICKUP
VALDOSTA, GA
NPI
1053657296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA 005080)
Enumeration Date
2012-12-17
Last Update Date
2012-12-17
Business Address
MR. DEREK JAMES PICKUP LMSW
807 BLYTHWOOD RD
VALDOSTA, GA 31602-1666
Phone number: 229-251-4638
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Mailing Address
MR. DEREK JAMES PICKUP LMSW
807 BLYTHWOOD RD
VALDOSTA, GA 31602-1666
Phone number: 229-251-4638
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