Organization

Debbie S. Oldham, Lcsw, Cadc-d, Llc

Legal Business Name

Debbie S. Oldham, Lcsw, Cadc-d, Llc

NPI Number

1215078209

NPI Type

Organization

Enumeration Date

02/11/2007

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

53005-5950
53005-5950

Country

US
US

Telephone Number

(262) 894-1477
(262) 894-1477

Authorized Official

Name

Debbie Oldham

Title or Position

OWNER

Telephone Number

(262) 894-1477

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address