Individual
DEBORAH ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
130 W BRUCE ST STE 200, MILWAUKEE, WI 53204-1667
(414) 305-9505
Mailing address
130 W BRUCE ST STE 200, MILWAUKEE, WI 53204-1667
(414) 305-9505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3158-226
WI
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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