Individual
MRS. DEBRA LEE VANDERWEELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2801 CALUMET DR, SHEBOYGAN, WI 53083-3839
(920) 451-6908
Mailing address
N7012 RIVERWOODS DR, SHEBOYGAN, WI 53083-1658
(920) 467-6813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1576125
WI
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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