Individual
DEBRA JANE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
102 ELKINS ST, ESTILL SPRINGS, TN 37330-3060
(315) 816-6050
Mailing address
102 ELKINS ST, ESTILL SPRINGS, TN 37330-3060
(315) 816-6050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
081298
NY
1041C0700X
Clinical Social Worker
Primary
097232-01
NY
Other
Enumeration date
09/10/2017
Last updated
05/15/2024
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