DERRICK GILBERT

BRANSON, MO
NPI1093312811
Other NameDERRICK GILBERT
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO  1364)
Enumeration Date2020-10-05
Last Update Date2020-10-05
Business Address
DERRICK GILBERT CRADC
895 STATE HIGHWAY 248 STE C
BRANSON, MO 65616-4013
Phone number: 417-544-8394
Mailing Address
DERRICK GILBERT CRADC
104 CASTLE LN
HIGHLANDVILLE, MO 65669-8096
Phone number: 417-838-6818
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