Individual
DEBRA K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 448-6158
Mailing address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 448-6158
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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