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1215211974
RICHELLE L DERFUS
CEDAR RAPIDS, IA
NPI
1215211974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 007315)
Enumeration Date
2011-09-29
Last Update Date
2011-09-29
Business Address
-- RICHELLE L DERFUS LISW, CADC
1073 ROCKFORD RD SW
CEDAR RAPIDS, IA 52404-1868
Phone number: 319-936-7008
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Mailing Address
-- RICHELLE L DERFUS LISW, CADC
224 ALYDAR DR
NORTH LIBERTY, IA 52317-4756
Phone number: 319-936-7008
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