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Individual

JULIA M. DELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
N2846 STATE ROAD 67, WILLIAMS BAY, WI 53191-3771
(262) 245-5808
(262) 245-5648
Mailing address
N2846 STATE ROAD 67, WILLIAMS BAY, WI 53191-3771
(262) 245-5808
(262) 245-5648

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2901-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184777013
BCBSWI
WI
05
1184777013
WI
01
DELLEJUL-MO
MERCYCARE INSURANCE
WI
Enumeration date
01/22/2007
Last updated
03/29/2017
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