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Individual

DEBORA LEA HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 361-0311
Mailing address
74 ECLIPSE CTR, BELOIT, WI 53511-3550
(608) 361-0311

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7886-125
WI

Other

Enumeration date
04/12/2015
Last updated
01/18/2021
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