DERRICK LEWIS

TACOMA, WA
NPI1437331105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-12-04
Last Update Date2007-12-04
Business Address
-- DERRICK LEWIS
5410 N 44TH ST
TACOMA, WA 98407-3715
Phone number: 253-759-9544
Mailing Address
-- DERRICK LEWIS
5410 N 44TH ST
TACOMA, WA 98407-3715
Phone number:
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