DERRICK KING

HAYWARD, CA
NPI1952607921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-02-08
Last Update Date2011-02-08
Business Address
-- DERRICK KING
107 JACKSON ST
HAYWARD, CA 94544-1948
Phone number: 510-886-8696
Mailing Address
-- DERRICK KING
1403 164TH AVE
SAN LEANDRO, CA 94578-3123
Phone number:
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