DOMINIQUE DERDEN

DENTON, TX
NPI1083289193
Former NameDOMINIQUE ASH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  12264)
Enumeration Date2021-05-21
Last Update Date2021-05-21
Business Address
DOMINIQUE DERDEN
1516 N RUDDELL ST
DENTON, TX 76209-3338
Phone number: 940-898-6202
Mailing Address
DOMINIQUE DERDEN
1516 N RUDDELL ST
DENTON, TX 76209-3338
Phone number:
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