TIFFANY ANN DERRICK

FORT WORTH, TX
NPI1689888570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: TX  62801)
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
Mrs. TIFFANY ANN DERRICK LPC-I
4274 CADIZ DR
FORT WORTH, TX 76133-5412
Phone number: 817-690-5196
Mailing Address
Mrs. TIFFANY ANN DERRICK LPC-I
4274 CADIZ DR
FORT WORTH, TX 76133-5412
Phone number: 817-690-5196
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