Debbie S. Oldham LCSW, CADC-D
Full Name
Debbie S. Oldham LCSW, CADC-D
NPI Number
1679669113
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/04/2006
Specialties
(Taxonomies)Code
101YA0400X
1041C0700X
Primary Taxonomy
No
No
Licenses
State
Wisconsin
Wisconsin
License Number
14427
2398-123
Contact
Information
Purpose
Mailing
Location
Address
17100 W. BLUEMOUND RD.
17100 W BLUEMOUND RD
City
Brookfield
Brookfield
State
WI
WI
Postal Code
53005
53005-5950
Country
US
US
Telephone Number
(262) 894-1477
(262) 894-1477
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007