Individual
MR. DEREK WAYNE STRICKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
1800 MADISON 257, FREDERICKTOWN, MO 63645-8273
(573) 783-4400
(573) 783-4409
Mailing address
1800 MADISON 257, FREDERICKTOWN, MO 63645-8273
(573) 783-4400
(573) 783-4409
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
2011025373
MO
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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