Individual
DEBRA A MCGRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROGRAM DIRECTOR
Contact information
Practice address
6233 39TH AVENUE, KENOSHA, WI 53142-7015
(262) 654-1004
(262) 654-6960
Mailing address
6233 39TH AVENUE, KENOSHA, WI 53142-7015
(262) 654-1004
(262) 654-6960
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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