Mary Derbish, LSW

NPI #1003506924 in Champaign, Illinois

Provider Information

NPI Number: 1003506924
Entity Type: Individual
Name: Mary Derbish, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LSW
Enumeration Date: May 12, 2023
Last Updated: May 12, 2023

Practice Location

Address: 505 W UNIVERSITY AVE STE 202-203
City: Champaign
State: Illinois
ZIP Code: 61820-3915
Phone: (224) 232-8057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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