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1104289339
DERECK DEAN
KANSAS CITY, MO
NPI
1104289339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2015020159)
Enumeration Date
2016-04-04
Last Update Date
2016-04-04
Business Address
-- DERECK DEAN LMSW
8010 N ELMWOOD AVE
KANSAS CITY, MO 64119-8600
Phone number: 816-769-3845
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Mailing Address
-- DERECK DEAN LMSW
8010 N ELMWOOD AVE
KANSAS CITY, MO 64119-8600
Phone number: 816-769-3845
Copy
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