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Individual

DAVID R DERUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD, LPC-IT

Contact information

Practice address
3398 E MARIA DR, STEVENS POINT, WI 54481-1362
(715) 341-7441
Mailing address
3398 E MARIA DR, STEVENS POINT, WI 54481-1362
(715) 341-7441

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1857
WI
103T00000X
Psychologist
Primary
3817
WI

Other

Enumeration date
08/26/2013
Last updated
12/11/2020
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