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Individual

DEREK CHASE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1301 LENFANT SQ SE, WASHINGTON, DC 20020-6724
(202) 269-2401
Mailing address
4750 COLONEL ASHTON PL, UPPER MARLBORO, MD 20772-2883
(240) 845-4616

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/20/2023
Last updated
05/20/2024
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