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Individual
DERRICK D THOMAS
Active
Individual
DERRICK D THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA, NREMT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172768
OH
146N00000X
Basic Emergency Medical Technician
156613
OH
373H00000X
Day Training/Habilitation Specialist
1828893
OH
Other
Enumeration date
11/19/2016
Last updated
02/04/2020
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