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1407488737
DERRICK KELVIN GILLISPIE
COLUMBUS, GA
NPI
1407488737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
DERRICK KELVIN GILLISPIE
1727 BOXWOOD PL
COLUMBUS, GA 31906-2328
Phone number: 706-569-0727
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Mailing Address
DERRICK KELVIN GILLISPIE
1727 BOXWOOD PL
COLUMBUS, GA 31906-2328
Phone number:
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