Individual
MS. DEBORAH JEAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
227 5TH AVE, BARABOO, WI 53913-2116
(608) 356-9066
Mailing address
227 5TH AVE, BARABOO, WI 53913-2116
(608) 356-9066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2095125
WI
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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