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Individual

MS. DEBRA CHARMAINE VINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
306 W SUPERIOR ST STE 1000, DULUTH, MN 55802-1818
(218) 481-7660
(218) 216-1452
Mailing address
306 W SUPERIOR ST, STE 1000, DULUTH, MN 55802-1818
(218) 428-1175
(218) 216-1452

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LP1868
MN
103TC0700X
Clinical Psychologist
Primary
1868
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275252200
MN
Enumeration date
05/11/2006
Last updated
01/14/2023
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