Individual
MS. DEBORAH LYNN GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
319 MAIN ST, STE 510, LA CROSSE, WI 54601-0710
(608) 796-1114
(608) 796-1944
Mailing address
319 MAIN ST, STE 510, LA CROSSE, WI 54601-0710
(608) 796-1114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1518-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#9646157 #0007329775
AETNA
—
01
—
117590 1
UCARE
MN
01
—
367319
MHN
—
05
—
39567400
—
WI
01
—
395R0GA
BCBS ATRUIM AWARE
MN
01
—
770607630012
BC/BS PPO,POS,PAR,COMPCARE BLUE
WI
05
—
827081300
—
MN
Enumeration date
11/30/2006
Last updated
10/26/2016
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