DERRICK KELVIN GILLISPIE

COLUMBUS, GA
NPI1407488737
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-02-05
Last Update Date2020-02-05
Business Address
DERRICK KELVIN GILLISPIE
1727 BOXWOOD PL
COLUMBUS, GA 31906-2328
Phone number: 706-569-0727
Mailing Address
DERRICK KELVIN GILLISPIE
1727 BOXWOOD PL
COLUMBUS, GA 31906-2328
Phone number: