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Individual

MS. DEBRA A ADAMUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CLINICAL SUBSTANCE A

Contact information

Practice address
418 E WISCONSIN AVE, OCONOMOWOC, WI 53066
(414) 429-6403
(262) 354-0794
Mailing address
418 E WISCONSIN AVE, OCONOMOWOC, WI 53066-3040
(414) 429-6403
(262) 354-0794

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
718132
WI
101YP2500X
Professional Counselor
718-132
WI

Other

Enumeration date
05/10/2007
Last updated
06/20/2018
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