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1861899130
STEVEN DERRICK
RENO, NV
NPI
1861899130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NV 972-L)
Enumeration Date
2014-12-02
Last Update Date
2014-12-02
Business Address
-- STEVEN DERRICK
1055 W. MOANA LANE #204
RENO, NV 89509
Phone number: 775-825-8118
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Mailing Address
-- STEVEN DERRICK
1055 W. MOANA LANE #204
RENO, NV 89509
Phone number: 775-825-8118
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