Individual
RACHEL DERIVAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2104 RODGERS DR NE, HUNTSVILLE, AL 35811-2326
(256) 808-6119
Mailing address
2104 RODGERS DR NE, HUNTSVILLE, AL 35811-2326
(256) 808-6119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4383C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
10/07/2015
Last updated
04/18/2022
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