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1548401748
DERRICK D WILLIAMS
CHINO, CA
NPI
1548401748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 281032609p)
Enumeration Date
2009-03-18
Last Update Date
2009-03-18
Business Address
Mr. DERRICK D WILLIAMS
5389 RIVERSIDE DR
CHINO, CA 91710-4252
Phone number: 909-615-7540
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Mailing Address
Mr. DERRICK D WILLIAMS
5389 RIVERSIDE DR
CHINO, CA 91710-4252
Phone number:
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