Individual
MRS. DEANNA SCHULTZ-DEPIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 W MAIN ST, #350, PORT WASHINGTON, WI 53074
(262) 284-8140
(262) 284-8104
Mailing address
PO BOX 994, #350, PORT WASHINGTON, WI 53074-0994
(262) 284-8200
(262) 284-8104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7137123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43590400
—
WI
Enumeration date
08/02/2006
Last updated
07/08/2007
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