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Individual

MR. DERRICK LASHAWN MORTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13886 CITRUS GROVE BLVD, WEST PALM BEACH, FL 33412-3212
(216) 357-8643
Mailing address
13886 CITRUS GROVE BLVD, WEST PALM BEACH, FL 33412-3212
(216) 357-8643

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA21039
FL
235Z00000X
Speech-Language Pathologist
SP.12975
OH

Other

Enumeration date
07/27/2020
Last updated
10/22/2023
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