Suzanne M Derrick, LISW-CP

NPI #1093932535 in Edgefield, South Carolina

Provider Information

NPI Number: 1093932535
Entity Type: Individual
Name: Suzanne M Derrick, LISW-CP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LISW-CP
Enumeration Date: Apr 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 720 BUNCOMBE ST
City: Edgefield
State: South Carolina
ZIP Code: 29824-1019
Phone: (803) 637-9730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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