DEREK BEASLEY

DAYTON, OH
NPI1841803236
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH  170758)
Enumeration Date2020-08-26
Last Update Date2020-08-26
Business Address
DEREK BEASLEY CDCA
4124 LINDEN AVE
DAYTON, OH 45432-3018
Phone number: 937-422-2902
Mailing Address
DEREK BEASLEY CDCA
2612 LYNHURST AVE
DAYTON, OH 45420-2712
Phone number: 937-422-2902
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