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Individual

DERRICK JAVAN HOARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
116 DUGOUT LN, STERLINGTON, LA 71280-3317
(318) 732-7489
Mailing address
116 DUGOUT LN, STERLINGTON, LA 71280-3317

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1291
LA
101YM0800X
Mental Health Counselor
Primary
60822202
WA
101YM0800X
Mental Health Counselor
6489
LA

Other

Enumeration date
04/03/2018
Last updated
06/11/2019
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