DERRICK KIRK

ALEXANDRIA, LA
NPI1962019273
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-09-30
Last Update Date2020-09-30
Business Address
DERRICK KIRK
3600 JACKSON ST STE 111B
ALEXANDRIA, LA 71303-3000
Phone number: 318-483-4155
Mailing Address
DERRICK KIRK
3600 JACKSON ST STE 11B
ALEXANDRIA, LA 71303-3040
Phone number:
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