Individual
MRS. DEBRA CAROL FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1257 W LAKE SHORE DR, N, PELL LAKE, WI 53157
(815) 823-3232
Mailing address
PO BOX 807, PELL LAKE, WI 53157
(815) 823-3232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632110
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/24/2006
Last updated
07/08/2007
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