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1114627296
DERRICK RICHARD
BROOKLYN, NY
NPI
1114627296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251B00000X Case Management
Enumeration Date
2023-03-07
Last Update Date
2023-03-15
Business Address
DERRICK RICHARD
576 LOGAN ST STE 2
BROOKLYN, NY 11208-3702
Phone number: 929-526-8414
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Mailing Address
DERRICK RICHARD
576 LOGAN ST STE 2
BROOKLYN, NY 11208-3702
Phone number: 929-526-8414
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