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1417183989
TALIA CATHERINE DEROSE
RACINE, WI
NPI
1417183989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 4827-125)
Enumeration Date
2009-06-10
Last Update Date
2012-09-04
Business Address
-- TALIA CATHERINE DEROSE msw
316 5TH ST SUITE 1
RACINE, WI 53403-4606
Phone number: 262-633-1235
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Mailing Address
-- TALIA CATHERINE DEROSE msw
316 5TH ST SUITE 1
RACINE, WI 53403-4606
Phone number: 262-633-1235
Copy
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