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Individual

DERRICK KEITH NEWMAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2041 MARTIN LUTHER KING JR AVE SE STE 234, WASHINGTON, DC 20020-7026
(202) 717-9428
(202) 717-9292
Mailing address
13103 LARKHALL CIR, FORT WASHINGTON, MD 20744-6444
(301) 535-2013

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/07/2023
Last updated
06/07/2023
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