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1427608223
DERRICK LACASSE
QUINCY, MA
NPI
1427608223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-09-13
Last Update Date
2019-09-13
Business Address
DERRICK LACASSE
79 CURTIS AVE APT 1
QUINCY, MA 02169-7200
Phone number: 207-713-6733
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Mailing Address
DERRICK LACASSE
79 CURTIS AVE APT 1
QUINCY, MA 02169-7200
Phone number: 207-713-6733
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