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1457327785
MARK DERBYSHIRE
ROANOKE, VA
NPI
1457327785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904-001050)
Enumeration Date
2006-02-27
Last Update Date
2021-07-21
Business Address
MARK DERBYSHIRE LCSW
213 MCCLANAHAN ST SW
ROANOKE, VA 24014-1762
Phone number: 540-981-8951
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Mailing Address
MARK DERBYSHIRE LCSW
3236 HASTINGS RD
ROANOKE, VA 24018-3108
Phone number:
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