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1346871845
DERRICK VERSHAVE
LAKEWOOD, WA
NPI
1346871845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-02-03
Last Update Date
2020-02-03
Business Address
DERRICK VERSHAVE BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
DERRICK VERSHAVE BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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