Deboer, Jody L

Deboer, Jody L is an individual health care provider with primary practice located at 4811 S 76Th St Ste 305 , Greenfield WI 53220-4313. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Deboer, Jody L can be contacted via phone (414) 325-7741.

Contact Information

Primary practice address
4811 S 76Th St Ste 305 Greenfield WI 53220-4313
Phone: (414) 325-7741
Fax: (414) 325-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2016034450 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11474-123 Wisconsin

Profile Details

NPI number 1114349636
LBN Legal business name Deboer, Jody L
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2014
Last updated Oct 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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