Individual
MS. MISTY MCCANTS DERAMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
116 WILKERSON AVE, MADISON, AL 35756-4280
(256) 490-4443
Mailing address
116 WILKERSON AVE, MADISON, AL 35756-4280
(256) 490-4443
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3635B
AL
1041C0700X
Clinical Social Worker
Primary
2405C
AL
Other
Enumeration date
11/16/2006
Last updated
03/21/2018
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