Tara Lee Deroo LMSW

NPI 1205134194 - Social Worker - 1041C0700X

NPI Details
NPI 1205134194
Gender Female
Enumeration Date 03/02/2011
Last Updated 03/02/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
10569 N SPRINGFIELD CIR
ZEELAND MI, 49464-1475, US
Phone (616) 772-6092
Fax
Business Location
10569 N SPRINGFIELD CIR
ZEELAND MI, 49464-1475, US
Phone (616) 772-6092
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801081584
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According to our database, Mrs. Tara Lee Deroo LMSW NPI is 1205134194, taxonomy code is 1041C0700X and license number is 6801081584, license state is located at Michigan. Tara Lee Deroo LMSW physically located at 10569 N Springfield Cir, Zeeland MI, 49464-1475. NPI Number Tara Lee Deroo LMSW has the Individual type.

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1205134194 NPI number is provided on an as is basis without warranty of any kind. 1205134194 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Lee Deroo LMSW are for informational purposes only.