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1497827836
DERREL JEFFREY
WACO, TX
NPI
1497827836
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 35597)
Enumeration Date
2006-11-14
Last Update Date
2020-08-08
Business Address
DERREL JEFFREY LCSW
345 OWEN LN STE 122
WACO, TX 76710-5583
Phone number: 254-218-2389
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Mailing Address
DERREL JEFFREY LCSW
4906 LAKE ENGLEWOOD DR
WACO, TX 76710-2938
Phone number: 254-218-2389
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