Individual
LUKE DEBAUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 N PLANKINTON AVE, MILWAUKEE, WI 53203-1802
(414) 223-6800
(414) 273-2357
Mailing address
PO BOX 510498, MILWAUKEE, WI 53203-0092
(866) 525-5484
(414) 225-1575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/01/2008
Last updated
01/05/2022
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