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Individual

MS. THERESA JEAN PRICE-DECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LCSW

Contact information

Practice address
21B S BROWN ST, RHINELANDER, WI 54501-3450
(715) 362-5437
Mailing address
2905 ROLLINGWOOD LN, RHINELANDER, WI 54501-9187
(715) 282-6107

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2124-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1029-125
LPC LICENSE NUMBER
WI
01
2124-123
LCSW LICENSE NUMBER
WI
05
39283400
WI
Enumeration date
10/03/2006
Last updated
07/09/2007
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