Deroche, Kathleen Mary

Deroche, Kathleen Mary is an sole proprietor health care provider with primary practice located at 101 N Virginia St Suite 105, Crystal Lake IL 60014-3426. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Deroche, Kathleen Mary can be contacted via phone (815) 477-4024.

Contact Information

Primary practice address
101 N Virginia St Suite 105 Crystal Lake IL 60014-3426
Phone: (815) 477-4024
Fax: (815) 477-4034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Illinois

Profile Details

NPI number 1528067824
LBN Legal business name Deroche, Kathleen Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Aug 15th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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