DERYCK ANDERSON

SALEM, OR
NPI1932642626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-11-29
Last Update Date2016-11-29
Business Address
-- DERYCK ANDERSON
1675 GRANT ST NE
SALEM, OR 97301-7943
Phone number: 541-604-5193
Mailing Address
-- DERYCK ANDERSON
1675 GRANT ST NE
SALEM, OR 97301-7943
Phone number: 541-604-5193
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