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Individual
MS. SANDRA DERKS
Active
Individual
MS. SANDRA DERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-004503
IL
Other
Enumeration date
11/20/2006
Last updated
11/20/2007
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