Individual
DEREK WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 GALLIVAN BLVD, DORCHESTER CENTER, MA 02124-5503
(617) 251-5954
Mailing address
165 GALLIVAN BLVD, DORCHESTER CENTER, MA 02124-5503
(617) 251-5954
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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