Michael Derose, LCSW
NPI #1295101574 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1295101574
- Entity Type
- Individual
- Name
- Michael Derose, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Aug 20, 2015
- Last Updated
- Feb 11, 2019
Practice Location
- Address
- 3805B SPRING ST
- Address 2
- SUITE 320
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53405-1641
- Phone
- (262) 687-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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