DERRICK JOSEPH MOSS

DETROIT, MI
NPI1417530221
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801105045)
Enumeration Date2021-04-29
Last Update Date2021-04-29
Business Address
DERRICK JOSEPH MOSS
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-204-1949
Mailing Address
DERRICK JOSEPH MOSS
19482 LENNANE
REDFORD, MI 48240-1349
Phone number: 313-204-1949
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