DERRICK THOMAS

BOSSIER CITY, LA
NPI1700258605
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-10-30
Last Update Date2018-05-24
Business Address
DERRICK THOMAS
2601 HOYER ST
BOSSIER CITY, LA 71112
Phone number: 318-703-7382
Mailing Address
DERRICK THOMAS
2601 HOYER ST
BOSSIER CITY, LA 71112-3425
Phone number: 318-703-7382
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