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1538615596
CHANDRIKA MONIQUE DERRICHO
COVINGTON, GA
NPI
1538615596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006585)
Enumeration Date
2016-08-30
Last Update Date
2018-11-05
Business Address
CHANDRIKA MONIQUE DERRICHO LCSW
140 CAMBRIDGE WAY
COVINGTON, GA 30016-4943
Phone number: 404-644-0224
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Mailing Address
CHANDRIKA MONIQUE DERRICHO LCSW
140 CAMBRIDGE WAY
COVINGTON, GA 30016-4943
Phone number: 404-644-0224
Copy
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