Individual
ROSALIE L DERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
219 HIGH ST, FARMINGTON, ME 04938-1706
(207) 778-4840
Mailing address
PO BOX 68, FARMINGTON, ME 04938-0068
(207) 778-4840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC3082
ME
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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