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Individual

DEBORA BETH MAGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
229 E WISCONSIN AVE STE 600, MILWAUKEE, WI 53202-4212
(414) 224-3737
(414) 224-1522
Mailing address
229 E WISCONSIN AVE STE 600, MILWAUKEE, WI 53202-4212
(414) 224-3737
(414) 224-1522

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9504-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9504-123
STATE OF WISCONSIN
WI
Enumeration date
05/20/2021
Last updated
05/20/2021
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