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1114399128
DERRICK MOORE
PHILADELPHIA, PA
NPI
1114399128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-29
Last Update Date
2015-10-29
Business Address
-- DERRICK MOORE
631 N 10TH ST
PHILADELPHIA, PA 19123-2601
Phone number: 267-223-9010
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Mailing Address
-- DERRICK MOORE
631 N 10TH ST
PHILADELPHIA, PA 19123-2601
Phone number: 267-223-9010
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