Individual
DERRICK LACASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 CURTIS AVE APT 1, QUINCY, MA 02169-7200
(207) 713-6733
Mailing address
79 CURTIS AVE APT 1, QUINCY, MA 02169-7200
(207) 713-6733
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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