Deroche, Kathleen Mary
Deroche, Kathleen Mary is an sole proprietor health care provider with primary practice located at 101 N Virginia St Suite 105, Crystal Lake IL 60014-3426. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Deroche, Kathleen Mary can be contacted via phone (815) 477-4024.Contact Information
Primary practice address
101 N Virginia St Suite 105
Crystal Lake IL 60014-3426
Phone: (815) 477-4024
Fax: (815) 477-4034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Illinois |
Profile Details
| NPI number | 1528067824 |
|---|---|
| LBN Legal business name | Deroche, Kathleen Mary |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Aug 15th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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