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1003506924
MARY DERBISH
CHAMPAIGN, IL
NPI
1003506924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 150110706)
Enumeration Date
2023-05-12
Last Update Date
2023-05-12
Business Address
MARY DERBISH LSW
505 W UNIVERSITY AVE STE 202-203
CHAMPAIGN, IL 61820-3915
Phone number: 224-232-8057
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Mailing Address
MARY DERBISH LSW
505 W UNIVERSITY AVE STE 202-203
CHAMPAIGN, IL 61820-3915
Phone number: 224-232-8057
Copy
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