Individual
DERRICK BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHS
Contact information
Practice address
4107 VAN DEEMAN ST, BOSSIER CITY, LA 71112-4223
(318) 754-5461
Mailing address
4107 VAN DEEMAN ST, BOSSIER CITY, LA 71112-4223
(318) 754-5461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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