Derricho, Chandrika Monique
Derricho, Chandrika Monique is an sole proprietor health care provider with primary practice located at 140 Cambridge Way , Covington GA 30016-4943. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Derricho, Chandrika Monique can be contacted via phone (404) 644-0224.Contact Information
Primary practice address
140 Cambridge Way
Covington GA 30016-4943
Phone: (404) 644-0224
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW006585 | Georgia |
Profile Details
| NPI number | 1538615596 |
|---|---|
| LBN Legal business name | Derricho, Chandrika Monique |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2016 |
| Last updated | Nov 5th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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