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1932750809
DEREK ANTHONY DUARTE
TACOMA, WA
NPI
1932750809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60967188)
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
DEREK ANTHONY DUARTE
5915 ORCHARD ST W
TACOMA, WA 98467-3824
Phone number: 253-414-7461
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Mailing Address
DEREK ANTHONY DUARTE
4302 CENTER ST APT X106
TACOMA, WA 98409-8620
Phone number: 650-669-4194
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