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1295101574
MICHAEL DEROSE
MOUNT PLEASANT, WI
NPI
1295101574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WI 8319)
Enumeration Date
2015-08-20
Last Update Date
2019-02-11
Business Address
MICHAEL DEROSE LCSW
3805B SPRING ST SUITE 320
MOUNT PLEASANT, WI 53405-1641
Phone number: 262-687-2222
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Mailing Address
MICHAEL DEROSE LCSW
3805B SPRING ST STE 320
MOUNT PLEASANT, WI 53405-1644
Phone number:
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