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1669737029
DERRICK T DICKER
PHILADELPHIA, PA
NPI
1669737029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: PA 251S00000X)
Enumeration Date
2012-07-11
Last Update Date
2012-07-11
Business Address
Mr. DERRICK T DICKER M.H.S.
4803 WOODLAND AVE
PHILADELPHIA, PA 19143-4433
Phone number: 215-326-9491
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Mailing Address
Mr. DERRICK T DICKER M.H.S.
4803 WOODLAND AVE
PHILADELPHIA, PA 19143-4433
Phone number: 215-326-9491
Copy
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