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1194416909
DERRICK BOWEN
HUNTINGTON, WV
NPI
1194416909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
DERRICK BOWEN MA
135 4TH AVE
HUNTINGTON, WV 25701-1219
Phone number: 304-932-0106
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Mailing Address
DERRICK BOWEN MA
135 4TH AVE
HUNTINGTON, WV 25701-1219
Phone number:
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