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1124474556
DERRICK WHITE
CONWAY, AR
NPI
1124474556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AR P1905056)
Enumeration Date
2016-05-04
Last Update Date
2023-05-04
Business Address
DERRICK WHITE LPC
855 S GERMAN LN STE 1
CONWAY, AR 72034-6479
Phone number: 501-358-6606
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Mailing Address
DERRICK WHITE LPC
1820 S SALEM RD APT 3
CONWAY, AR 72034-8565
Phone number: 501-908-7448
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