DEREK ANTHONY DUARTE

TACOMA, WA
NPI1932750809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60967188)
Enumeration Date2019-09-23
Last Update Date2019-09-23
Business Address
DEREK ANTHONY DUARTE
5915 ORCHARD ST W
TACOMA, WA 98467-3824
Phone number: 253-414-7461
Mailing Address
DEREK ANTHONY DUARTE
4302 CENTER ST APT X106
TACOMA, WA 98409-8620
Phone number: 650-669-4194
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