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Individual

MR. DERRICK E FELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
12 SOUTHERN AVE, DORCHESTER, MA 02124-2012
(650) 299-0672
Mailing address
14636 SATURN DR, SAN LEANDRO, CA 94578-1345
(215) 668-6651

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
19049
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/29/2006
Last updated
10/18/2023
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