Individual
CHANDRIKA MONIQUE DERRICHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
140 CAMBRIDGE WAY, COVINGTON, GA 30016-4943
(404) 644-0224
Mailing address
140 CAMBRIDGE WAY, COVINGTON, GA 30016-4943
(404) 644-0224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006585
GA
Other
Enumeration date
08/30/2016
Last updated
11/05/2018
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