Individual
MR. ELOYD DERICO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Mailing address
2400 HOSPITAL RD, TUSKEGEE, AL 36083-5001
(334) 727-0550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2518G
AL
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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