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