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1891244752
DERRICK WASHINGTON
SHREVEPORT, LA
NPI
1891244752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-10-03
Last Update Date
2016-10-03
Business Address
-- DERRICK WASHINGTON
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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Mailing Address
-- DERRICK WASHINGTON
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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