DERRICK WASHINGTON

SHREVEPORT, LA
NPI1891244752
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-10-03
Last Update Date2016-10-03
Business Address
-- DERRICK WASHINGTON
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
Mailing Address
-- DERRICK WASHINGTON
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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