MARY DERBISH

CHAMPAIGN, IL
NPI1003506924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  150110706)
Enumeration Date2023-05-12
Last Update Date2023-05-12
Business Address
MARY DERBISH LSW
505 W UNIVERSITY AVE STE 202-203
CHAMPAIGN, IL 61820-3915
Phone number: 224-232-8057
Mailing Address
MARY DERBISH LSW
505 W UNIVERSITY AVE STE 202-203
CHAMPAIGN, IL 61820-3915
Phone number: 224-232-8057