Individual
MS. DEBORAH EDITH ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042
(717) 272-6621
(717) 228-6002
Mailing address
235 SENECA ST, HARRISBURG, PA 17110
(717) 272-6621
(717) 228-6002
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW012642L
PA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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