Individual
DERRICK LEMONT SINGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6233 OLD SCHOOL RD, 6233 OLD SCHOOL RD, WELLPINIT, WA 99040
(509) 258-7502
Mailing address
PO BOX 540, WELLPINIT, WA 99040-0540
(509) 258-7502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60274572
WA
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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