DEREK WAYNE PATRICK

LOUISA, KY
NPI1861084055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2021-02-09
Last Update Date2021-02-09
Business Address
DEREK WAYNE PATRICK PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
Mailing Address
DEREK WAYNE PATRICK PSS
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-639-0938
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