DERRELL COAKLEY SR.

Social Worker

Active Individual
NPI: 1861259772

Practice Address

1315 MILSTEAD RD NE
Conyers, GA 30012

Phone: (443) 225-1210

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No -
Social Worker 104100000X Yes -

Frequently Asked Questions

NPI 1861259772 is the National Provider Identifier for DERRELL COAKLEY SR., a Social Worker provider located in Conyers, GA. This NPI was enumerated on March 6, 2024.
DERRELL COAKLEY SR. practices at 1315 MILSTEAD RD NE, Conyers, GA 30012.

Quick Facts

NPI
1861259772
Type
Individual
Enumerated
Mar 6, 2024
Last Updated
Mar 6, 2024

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