Individual
JULIA M. DELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
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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