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1457884322
DERICK SHIELDS
TERRYTOWN, LA
NPI
1457884322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-07
Last Update Date
2017-04-07
Business Address
-- DERICK SHIELDS
1799 STUMPF BLVD BLDG 3 STE 4B
TERRYTOWN, LA 70056-3950
Phone number: 504-407-0755
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Mailing Address
-- DERICK SHIELDS
1948 HOLIDAY DR
NEW ORLEANS, LA 70114-3455
Phone number: 504-421-2810
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