Individual
DEBRA I POLACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5930 SEMINOLE CENTRE CT STE A, FITCHBURG, WI 53711-5165
(608) 571-7470
Mailing address
5930 SEMINOLE CENTRE CT STE A, FITCHBURG, WI 53711-5165
(608) 571-7470
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1111-124
WI
Other
Enumeration date
11/13/2013
Last updated
01/27/2020
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