Individual
MS. MITZI J DEARBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
VA MEDICAL CENTER, 5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295-0001
(414) 805-3666
Mailing address
5000 W NATIONAL AVE, VA MEDICAL CENTER, MILWAUKEE, WI 53295-0001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1022
WI
Other
Enumeration date
05/13/2006
Last updated
07/08/2007
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