DERRICK T DICKER

PHILADELPHIA, PA
NPI1669737029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: PA  251S00000X)
Enumeration Date2012-07-11
Last Update Date2012-07-11
Business Address
Mr. DERRICK T DICKER M.H.S.
4803 WOODLAND AVE
PHILADELPHIA, PA 19143-4433
Phone number: 215-326-9491
Mailing Address
Mr. DERRICK T DICKER M.H.S.
4803 WOODLAND AVE
PHILADELPHIA, PA 19143-4433
Phone number: 215-326-9491