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DERRELL FUQUA, CDCA

CDCA

Addiction (Substance Use Disorder) Counselor

NPI: 1780158444Individual

Specialties, Licenses & Credentials

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

169214(OH)

Contact & Hours

Address
2529 BRIDGEPORT DR
DAYTON, OH 45406

Quick Facts

NPI
1780158444
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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