Individual
DEREK TROY DECLUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4002 WARRENSVILLE CENTER RD, BEACHWOOD, OH 44122-6771
(216) 561-8300
(216) 561-8301
Mailing address
4002 WARRENSVILLE CENTER RD, BEACHWOOD, OH 44122-6771
(216) 561-8300
(216) 561-8301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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