DERRICK KINLEY

GRANTS PASS, OR
NPI1063855443
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-04-16
Last Update Date2013-04-16
Business Address
-- DERRICK KINLEY
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
Mailing Address
-- DERRICK KINLEY
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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