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1073165965
DEREK THOMPSON
LAKEWOOD, WA
NPI
1073165965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-11
Last Update Date
2019-07-11
Business Address
DEREK THOMPSON
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-503-3666
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Mailing Address
DEREK THOMPSON
15 OREGON AVE STE 308
TACOMA, WA 98409-7462
Phone number: 253-304-7753
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