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Individual
DEBORAH RAYBURN
Active
Individual
DEBORAH RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CADC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13266
WI
101YP2500X
Professional Counselor
Primary
3402-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40970200
—
WI
Enumeration date
08/03/2006
Last updated
01/02/2008
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