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1245580505
DERRICK WARD
PHILADELPHIA, PA
NPI
1245580505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
-- DERRICK WARD
308 E UPSAL ST
PHILADELPHIA, PA 19119-2347
Phone number: 215-260-0452
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Mailing Address
-- DERRICK WARD
308 E UPSAL ST
PHILADELPHIA, PA 19119-2347
Phone number: 215-260-0452
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