Female

Derylene Proctor

Case Manager/Care Coordinator in Monticello, FL(View on Map)

Full Name

Derylene Proctor

NPI Number

1710351986

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/25/2015

Specialties

(Taxonomies)

Code

171M00000X
101YA0400X
101Y00000X
101YM0800X

Primary Taxonomy

Yes
No
No
No

Licenses

State

Florida

License Number

AC# 6530425

Contact
Information

Purpose

Mailing
Location

Address

5773 N SALT RD
5773 N SALT RD

City

Monticello
Monticello

State

FL
FL

Postal Code

32344-5173
32344-5173

Country

US
US

Telephone Number

(850) 544-3045
(850) 544-3045

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/25/2015

Provider Address

Other Case Manager/Care Coordinator in Monticello, Florida:

Female

Atarri Hall

Monticello, FL

Specialties: Case Manager/Care Coordinator (Primary)Counselor