MRS. Kathleen Mary Deroche, LCSW

NPI #1528067824 in Crystal Lake, Illinois

Provider Information

NPI Number: 1528067824
Entity Type: Individual
Name: MRS. Kathleen Mary Deroche, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jul 19, 2005
Last Updated: Aug 15, 2007

Practice Location

Address: 101 N VIRGINIA ST
Address 2: SUITE 105
City: Crystal Lake
State: Illinois
ZIP Code: 60014-3426
Phone: (815) 477-4024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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