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1932775988
DERIK JAMES BERRY
IRONTON, OH
NPI
1932775988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.174204)
Enumeration Date
2021-06-01
Last Update Date
2022-05-27
Business Address
DERIK JAMES BERRY CDCA
113 S 3RD ST
IRONTON, OH 45638-1538
Phone number: 740-237-4702
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Mailing Address
DERIK JAMES BERRY CDCA
306 MONROE ST
IRONTON, OH 45638-1844
Phone number: 740-861-0390
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