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1659137750
DERYCK ANTHONY THOMPSON
LOCKPORT, NY
NPI
1659137750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
Mr. DERYCK ANTHONY THOMPSON MS
680 DAVISON RD
LOCKPORT, NY 14094-5338
Phone number: 716-302-3200
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Mailing Address
Mr. DERYCK ANTHONY THOMPSON MS
680 DAVISON RD
LOCKPORT, NY 14094-5338
Phone number: 716-302-3200
Copy
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