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1720489586
DERRICK EDWARDS
LEBANON, TN
NPI
1720489586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 3159)
Enumeration Date
2014-09-11
Last Update Date
2014-09-11
Business Address
Mr. DERRICK EDWARDS LPC-MHSP
963 GWYNN LN
LEBANON, TN 37087-9448
Phone number: 615-403-3639
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Mailing Address
Mr. DERRICK EDWARDS LPC-MHSP
963 GWYNN LN
LEBANON, TN 37087-9448
Phone number:
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