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Individual

DERICK DAUPHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW,RSW

Contact information

Practice address
4150 EARHART BLVD, NEW ORLEANS, LA 70125
(504) 522-4475
Mailing address
4150 EARHART BLVD, NEW ORLEANS, LA 70125-1955
(504) 522-4475

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
9946
LA
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/22/2016
Last updated
09/05/2018
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