Individual
DERRICK OMAR STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
256 WALLROCK CT, OCOEE, FL 34761-4457
(407) 770-7026
Mailing address
256 WALLROCK CT, OCOEE, FL 34761-4457
(407) 770-7026
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/17/2010
Last updated
11/16/2015
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