Individual
DEBRA MAE CAPENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
8020 GINA DR, RACINE, WI 53406
(262) 930-9713
Mailing address
8020 GINA DR, RACINE, WI 53406
(262) 930-9713
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
588-122
WI
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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