NATHAN GILBERT DERRICKSON

LITTLE ROCK, AR
NPI1265312086
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AR  12124-C)
Enumeration Date2025-09-03
Last Update Date2025-09-03
Business Address
-- NATHAN GILBERT DERRICKSON LCSW
400 W CAPITOL AVE STE 1700
LITTLE ROCK, AR 72201-3438
Phone number: 646-941-7645
Mailing Address
-- NATHAN GILBERT DERRICKSON LCSW
11 ESTES WAY
SOUTHSIDE, AR 72501-7049
Phone number: 417-399-1881
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