Individual
CHERYL DEDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 773-4312
Mailing address
18375 TAYWOOD CIR, #101, BROOKFIELD, WI 53045-5696
(262) 792-8818
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2925-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39738600
—
WI
Enumeration date
12/27/2006
Last updated
07/08/2007
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