DERRYCK VANCURK MOORE

PLYMOUTH, MN
NPI1336381599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  301674)
Enumeration Date2009-04-01
Last Update Date2009-04-01
Business Address
Mr. DERRYCK VANCURK MOORE LADC
12400 25TH AVE N
PLYMOUTH, MN 55441-4008
Phone number: 612-220-8645
Mailing Address
Mr. DERRYCK VANCURK MOORE LADC
12400 25TH AVE N
PLYMOUTH, MN 55441-4008
Phone number: 612-220-8645
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