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Individual

MS. PAMELA FAYE DERBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
2727 N GRANDVIEW BLVD STE 203, WAUKESHA, WI 53188-1671
(262) 547-5567
(262) 421-5477
Mailing address
2727 N GRANDVIEW BLVD STE 203, WAUKESHA, WI 53188-1671
(262) 547-5567
(262) 421-5477

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3576-123
WI

Other

Enumeration date
04/16/2007
Last updated
01/24/2024
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