DERRICK THOMPSON

LAWRENCEVILLE, GA
NPI1508473786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: GA  BACB570208)
Enumeration Date2020-09-30
Last Update Date2020-09-30
Business Address
DERRICK THOMPSON
2387 LAWRENCEVILLE HUNTCREST WAY
LAWRENCEVILLE, GA 30043
Phone number: 678-648-7644
Mailing Address
DERRICK THOMPSON
1209 SUMMERCHASE DR
DULUTH, GA 30096-8013
Phone number: 470-736-1525
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