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R. Lawrence Deroo, MS

Social Worker, Clinical in Madison, WI. Individual provider (NPI-1).

NPI number1649335993
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1649335993
Entity type
Individual (NPI-1)
Name
R. Lawrence Deroo
Credential
MS
Sex
Male
Sole proprietor
No
Enumeration date
Dec 27, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical2210-123WIYes

Practice location

700 Ray O Vac Dr
Suite 220
Madison, WI 53711-2479

Phone 608-276-9191 · Fax 608-276-9144

Mailing address

700 Ray O Vac Dr
Suite 220
Madison, WI 53711-2479

Phone 608-276-9191 · Fax 608-276-9144

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