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1194123778
TINA DERRICK
DES MOINES, IA
NPI
1194123778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IA 075285)
Enumeration Date
2014-12-12
Last Update Date
2014-12-12
Business Address
-- TINA DERRICK LMSW
1063 14TH PL STE A
DES MOINES, IA 50314-1245
Phone number: 515-235-5224
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Mailing Address
-- TINA DERRICK LMSW
1063 14TH PL STE A
DES MOINES, IA 50314-1245
Phone number: 515-235-5224
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