Individual
CHRISTINA MARIE DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
813 JOHN G RICHARDS RD, CAMDEN, SC 29020-9484
(803) 312-5585
Mailing address
813 JOHN G RICHARDS RD, CAMDEN, SC 29020-9484
(803) 312-5585
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4152
SC
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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