DERRELL COAKLEY

CONYERS, GA
NPI1861259772
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-03-06
Last Update Date2024-03-06
Business Address
DERRELL COAKLEY
1315 MILSTEAD RD NE
CONYERS, GA 30012-3824
Phone number: 443-225-1210
Mailing Address
DERRELL COAKLEY
1315 MILSTEAD RD NE
CONYERS, GA 30012-3824
Phone number: 443-225-1210
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