DERRICK ANTHONY DEPETRO

NEGAUNEE, MI
NPI1568984995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  2-00996)
Enumeration Date2017-07-07
Last Update Date2022-06-01
Business Address
DERRICK ANTHONY DEPETRO BS, CADC
104 MALTON RD
NEGAUNEE, MI 49866-2000
Phone number: 906-228-4692
Mailing Address
DERRICK ANTHONY DEPETRO BS, CADC
104 MALTON RD
NEGAUNEE, MI 49866-2000
Phone number: 906-228-4692
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