Individual
DEENA BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 3RD ST, CLEAR LAKE, WI 54005-8574
(715) 600-3886
Mailing address
165 3RD ST, CLEAR LAKE, WI 54005-8574
(715) 600-3886
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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