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Individual

BRITTANY JEAN DECOTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, CSAC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9778-123
WI
104100000X
Social Worker
ACB.0008355
CO
1041C0700X
Clinical Social Worker
33780
MN
1041C0700X
Clinical Social Worker
Primary
9778-123
WI

Other

Enumeration date
04/13/2010
Last updated
11/15/2024
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