Individual
TYLER DERCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 IRVING AVE N, MINNEAPOLIS, MN 55405-1263
(612) 668-2692
Mailing address
3710 13TH AVE S, MINNEAPOLIS, MN 55407-2710
(612) 386-6857
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
21788
MN
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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