Individual
SALLY ELIZABETH DERROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
819 WATER ST, SUITE 300, KERRVILLE, TX 78028-5333
(830) 792-3300
Mailing address
819 WATER ST, SUITE 300, KERRVILLE, TX 78028-5333
(830) 792-3300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
55758
TX
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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