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1508473786
DERRICK THOMPSON
LAWRENCEVILLE, GA
NPI
1508473786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: GA BACB570208)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
DERRICK THOMPSON
2387 LAWRENCEVILLE HUNTCREST WAY
LAWRENCEVILLE, GA 30043
Phone number: 678-648-7644
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Mailing Address
DERRICK THOMPSON
1209 SUMMERCHASE DR
DULUTH, GA 30096-8013
Phone number: 470-736-1525
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