Individual
MR. THOMAS EDWARD DEBUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
N 3512 STATE ROAD 81, GREEN COUNTY HUMAN SERVICES, MONROE, WI 53566
(608) 328-9393
Mailing address
N3152 STATE ROAD 81, GREEN COUNTY HUMAN SERVICES, MONROE, WI 53566-9397
(608) 328-9393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11526
WI
Other
Enumeration date
01/23/2007
Last updated
09/04/2013
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