Individual
DEANNA DERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4656 W JEFFERSON BLVD STE 285, FORT WAYNE, IN 46804-6838
(260) 422-9372
(260) 422-0843
Mailing address
4656 W JEFFERSON BLVD STE 285, FORT WAYNE, IN 46804-6838
(260) 422-9372
(260) 422-0843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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