Individual
DERRICK ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 LOUISIANA AVE, BOGALUSA, LA 70427-3839
(888) 417-5250
Mailing address
106 BUSINESS PARK AVE, DENHAM SPRINGS, LA 70726
(888) 417-5250
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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