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1316658420
DEREK J SAMPSON
LOWELL, MA
NPI
1316658420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-12-09
Last Update Date
2022-12-09
Business Address
DEREK J SAMPSON CADC
101 JACKSON ST FL 4
LOWELL, MA 01852-2103
Phone number: 978-459-8656
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Mailing Address
DEREK J SAMPSON CADC
16 CONGRESS ST
DRACUT, MA 01826-6006
Phone number: 781-658-0452
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