Tracy Leigh Derham

NPI 1952467359 - Counselor - 101Y00000X

NPI Details
NPI 1952467359
Gender Female
Enumeration Date 12/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1563 N MAIN ST
SUITE 208
FALL RIVER MA, 02720, US
Phone (508) 324-1060
Fax (508) 679-8590
Business Location
225 WILLISTON WAY
PAWTUCKET RI, 02861, US
Phone (617) 721-8365
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Tracy Leigh Derham NPI is 1952467359, taxonomy code is 101Y00000X Tracy Leigh Derham physically located at 1563 N Main St, Fall River MA, 02720. NPI Number Tracy Leigh Derham has the Individual type.

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1952467359 NPI number is provided on an as is basis without warranty of any kind. 1952467359 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Leigh Derham are for informational purposes only.