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Individual

MS. BARBARA DERAMONA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1650 45TH AVE, MUNSTER, IN 46321-3962
(219) 252-3113
Mailing address
8512 LOCUST AVE, GARY, IN 46403-1415
(219) 252-3113

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149003633
IL
1041C0700X
Clinical Social Worker
34005845A
IN

Other

Enumeration date
10/27/2010
Last updated
11/27/2012
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