Individual
MRS. GRACE DAYLEE DERRICKS-HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2965 FORT CAMPBELL BLVD STE 600, CLARKSVILLE, TN 37042-0405
(844) 244-1818
Mailing address
4257 BLAKELY CT APT E, FORT CAMPBELL, KY 42223-1949
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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