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Individual

DR. DEBORAH ANN CONTRERAS-TADYCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4369 S HOWELL AVE STE 306, MILWAUKEE, WI 53207-5055
(414) 999-0102
Mailing address
1842 WELLSPRINGS CT, OCONOMOWOC, WI 53066-4875
(414) 899-4023

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3288125
WI
103TC0700X
Clinical Psychologist
Primary
2983-57
WI
104100000X
Social Worker
3288
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40943500
WI
Enumeration date
08/07/2006
Last updated
05/11/2023
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