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Individual

DERRICK BEASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 547-8540
(202) 388-4339
Mailing address
2523 SAINT CLAIR DR, TEMPLE HILLS, MD 20748-3205
(202) 250-9721

Taxonomy

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

Other

Enumeration date
06/21/2023
Last updated
03/06/2025
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