Individual
EMMA FRANCES DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 HASTINGS LN, ELIZABETH CITY, NC 27909-3324
(252) 621-1366
Mailing address
644 NEW HOPE RD, HERTFORD, NC 27944
(757) 803-0966
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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