MS. Kelly Derr, LCSW

NPI #1912468927 in Mokena, Illinois

Provider Information

NPI Number: 1912468927
Entity Type: Individual
Name: MS. Kelly Derr, LCSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 31, 2019
Last Updated: Mar 31, 2019

Practice Location

Address: 9435 BORMET DR STE 5
City: Mokena
State: Illinois
ZIP Code: 60448-7401
Phone: (708) 995-7226

Specialties & Taxonomy Codes

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

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