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1659353720
SEAN P DERRY
PRESCOTT VALLEY, AZ
NPI
1659353720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC10204)
Enumeration Date
2005-11-15
Last Update Date
2007-07-08
Business Address
-- SEAN P DERRY LPC
3345 N WINDSONG DR WINDSONG CLINIC
PRESCOTT VALLEY, AZ 86314-2283
Phone number: 928-445-5211
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Mailing Address
-- SEAN P DERRY LPC
642 DAMERON DR
PRESCOTT, AZ 86301-2411
Phone number: 928-445-5211
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