DERRICK DEWAYNER DAVIS

JACKSON, MS
NPI1972447621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2026-04-15
Last Update Date2026-04-15
Business Address
DERRICK DEWAYNER DAVIS
1935 LAKELAND DR # 900
JACKSON, MS 39216-5028
Phone number: 601-718-2468
Mailing Address
DERRICK DEWAYNER DAVIS
1935 LAKELAND DR
JACKSON, MS 39216-5028
Phone number: 601-718-2468
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