Individual
CASIE DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1441 LAKE ST, LIBERTYVILLE, IL 60048-1731
(847) 362-3120
Mailing address
1441 LAKE ST, LIBERTYVILLE, IL 60048-1731
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.006400
IL
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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