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Individual
DEREK MONIZ
Active
Individual
DEREK MONIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP01014
RI
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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