DERRICK MOORE

PHILADELPHIA, PA
NPI1114399128
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-10-29
Last Update Date2015-10-29
Business Address
-- DERRICK MOORE
631 N 10TH ST
PHILADELPHIA, PA 19123-2601
Phone number: 267-223-9010
Mailing Address
-- DERRICK MOORE
631 N 10TH ST
PHILADELPHIA, PA 19123-2601
Phone number: 267-223-9010
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