Individual
RICHELLE L DERFUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, CADC
Contact information
Practice address
1073 ROCKFORD RD SW, CEDAR RAPIDS, IA 52404-1868
(319) 936-7008
Mailing address
224 ALYDAR DR, NORTH LIBERTY, IA 52317-4756
(319) 936-7008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007315
IA
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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