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1467522540
KIMBERLY B DERRICKSON
BALTIMORE, MD
NPI
1467522540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: MD 03246)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Dr. KIMBERLY B DERRICKSON PhD
1708 W ROGERS AVE
BALTIMORE, MD 21209-4545
Phone number: 410-578-8600
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Mailing Address
Dr. KIMBERLY B DERRICKSON PhD
1708 W ROGERS AVE
BALTIMORE, MD 21209-4545
Phone number: 410-578-8600
Copy
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