DEREK DYKES MOORE

SOMERVILLE, MA
NPI1427062165
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  113305)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
Mr. DEREK DYKES MOORE LICSW
22 MCGRATH HWY
SOMERVILLE, MA 02143-4508
Phone number: 617-623-1814
Mailing Address
Mr. DEREK DYKES MOORE LICSW
10 BRIDGE ST
MARBLEHEAD, MA 01945-3711
Phone number: 617-893-2231
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