Individual
DERRICK LEE HAGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1328 W GARDNER AVE, SPOKANE, WA 99201-2059
(509) 503-6010
Mailing address
1328 W GARDNER AVE, SPOKANE, WA 99201-2059
(509) 503-6010
(833) 597-8372
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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