Talia Derose, MSW

NPI 1417183989 · on the registry since 2009 · sole proprietor

Practice

Address: 316 5th St
Suite 1
Racine, WI 53403
Phone: (262) 633-1235
Fax: (262) 633-1236
Organisation at this address: Dynamic Potential
Derose Family Counseling, Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin