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1568695385
DOUGLAS K DERHODES
WESTERN SPRINGS, IL
NPI
1568695385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.013400)
Enumeration Date
2009-08-27
Last Update Date
2017-04-08
Business Address
Mr. DOUGLAS K DERHODES LCSW
822 HILLGROVE AVE SECOND FLOOR
WESTERN SPRINGS, IL 60558-1464
Phone number: 773-969-6864
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Mailing Address
Mr. DOUGLAS K DERHODES LCSW
5351 N ASHLAND AVE UNIT 1
CHICAGO, IL 60640-2053
Phone number: 773-896-5876
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