Individual
DERRICK SKINNER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
441 E MARKET ST, CELINA, OH 45822-1736
(419) 586-6628
Mailing address
441 E MARKET ST, CELINA, OH 45822-1736
(419) 586-6628
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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