Individual
DEREK TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 AMERICAN LEGION HWY, BOSTON, MA 02131-3908
(617) 469-8500
Mailing address
22 ANNELLA RD, BROCKTON, MA 02302-2209
(857) 333-7396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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