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Individual

DEBBIE S. OLDHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CADC-D

Contact information

Practice address
17100 W BLUEMOUND RD, SUITE 204, BROOKFIELD, WI 53005-5950
(262) 894-1477
Mailing address
17100 W. BLUEMOUND RD., SUITE 204, BROOKFIELD, WI 53005
(262) 894-1477

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14427
WI
1041C0700X
Clinical Social Worker
2398-123
WI

Other

Enumeration date
10/04/2006
Last updated
09/11/2025
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