MS. Jessica Marie Dergance, LCSW

NPI #1811293095 in La Salle, Illinois

Provider Information

NPI Number: 1811293095
Entity Type: Individual
Name: MS. Jessica Marie Dergance, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Feb 4, 2011
Last Updated: Jul 24, 2018

Practice Location

Address: 2428 CHARTRES ST
City: La Salle
State: Illinois
ZIP Code: 61301-1107
Phone: (815) 780-8765

Specialties & Taxonomy Codes

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

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