MARK JOHN DERBAS

KENOSHA, WI
NPI1316205594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WI  1347-226)
Enumeration Date2012-04-25
Last Update Date2021-07-19
Business Address
MARK JOHN DERBAS LPC
8503 75TH ST. SUITE A
KENOSHA, WI 53142-7620
Phone number: 262-654-9370
Mailing Address
MARK JOHN DERBAS LPC
8503 75TH ST. SUITE A
KENOSHA, WI 53142-7620
Phone number: 262-654-9370
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