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MR. DERRICK LEIGH KAUFMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICDC

Contact information

Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 387-6395
Mailing address
328 ORCHARD PL, WINTERSVILLE, OH 43953-3942

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC162158
OH

Other

Enumeration date
06/18/2019
Last updated
08/30/2023
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