DERRIN DWAYNE DRAKE

GRAND RAPIDS, MI
NPI1427405703
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MI  6801088703)
Enumeration Date2016-05-17
Last Update Date2016-05-17
Business Address
Mr. DERRIN DWAYNE DRAKE LMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
Mailing Address
Mr. DERRIN DWAYNE DRAKE LMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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