Individual
MISS BARBARA LEE DEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6815 W CAPITOL DR, STE 118, MILWAUKEE, WI 53216-2056
(414) 416-1032
Mailing address
6815 W CAPITOL DR, STE 118, MILWAUKEE, WI 53216-2056
(414) 416-1032
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7475-123
WI
1041C0700X
Clinical Social Worker
7475-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710209770
—
WI
Enumeration date
02/18/2010
Last updated
06/06/2016
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