Individual
DEREK LEQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
3663 BUCHANAN ST, SPACE 59, RIVERSIDE, CA 92503-4891
(951) 733-4293
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
85461
HI
Other
Enumeration date
09/19/2016
Last updated
05/29/2025
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