person
Talia Catherine Derose, MSW
Professional Counselor in Racine, Wisconsin
NPI 1417183989

Talia Catherine Derose is a Professional Counselor based in Racine, WI and is specialized in Professional. Talia Catherine Derose practices in Racine, WI and has the professional credentials of MSW. The NPI Number for Talia Catherine Derose is 1417183989 and holds a License No. 4827-125 (Wisconsin).

The current practice location address for Talia Catherine Derose is 316 5Th St, Racine, WI and can be reached out via phone at 262-633-1235 and via fax at 262-633-1236.

Location: 316 5Th St, Racine, WI, 53403-4606
person
Provider Profile Details
NPI Number
1417183989
Provider Name
Talia Catherine Derose
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
316 5Th St, Racine, WI, 53403-4606
Phone Number
262-633-1235
Fax Number
262-633-1236
Provider Enumeration Date
06/10/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
316 5Th St
City
State
Zip
53403-4606
Phone Number
262-633-1235
Fax Number
262-633-1236
person
Provider Business Mailing Address Details
Address
316 5Th St
City
State
Zip
53403-4606
Phone Number
262-633-1235
Fax Number
262-633-1236
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4827-125 (Wisconsin)
Definition
Definition to come...
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