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Individual

DEANNA LYNN HOUCK I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS,

Contact information

Practice address
322 DEWITT ST, PORTAGE, WI 53901-2114
(608) 745-9292
(608) 280-2707
Mailing address
322 DEWITT ST, PORTAGE, WI 53901-2114
(608) 745-9292
(608) 280-2707

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10201-125
WI
171M00000X
Case Manager/Care Coordinator
WI

Other

Enumeration date
06/25/2018
Last updated
02/22/2023
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