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Individual

MELISSA DEROOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
2309 JACKSON ST, SIOUX CITY, IA 51104-3546
(712) 258-5424
(712) 224-3722
Mailing address
2309 JACKSON ST, SIOUX CITY, IA 51104-3546
(712) 258-5424
(712) 224-3722

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14114
IA

Other

Enumeration date
03/23/2016
Last updated
03/23/2016
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