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Individual

COURTNEY DERUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
114 GRAND AVE, WAUSAU, WI 54403-6214
(715) 845-7175
(715) 845-7142
Mailing address
114 GRAND AVE, WAUSAU, WI 54403-6214
(715) 845-7175
(715) 845-7142

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3605-57
WI

Other

Enumeration date
08/26/2013
Last updated
10/02/2018
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