Individual
DERRICK WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(213) 727-2108
Mailing address
7600 WOODLAND AVE APT 203, CLEVELAND, OH 44104-3084
(216) 762-3164
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003689
OH
Other
Enumeration date
11/16/2022
Last updated
01/26/2023
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