| Debbie S. Oldham, Lcsw, Cadc-d, Llc | |
|
17100 W Bluemound Rd Suite 204 Brookfield WI 53005-5950 | |
| (262) 894-1477 | |
| (262) 754-3712 |
| Full Name | Debbie S. Oldham, Lcsw, Cadc-d, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17100 W Bluemound Rd, Brookfield, Wisconsin |
| Authorized Official Name and Position | Debbie S Oldham (OWNER) |
| Authorized Official Contact | 2628941477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debbie S. Oldham, Lcsw, Cadc-d, Llc 17100 W Bluemound Rd Suite 204 Brookfield WI 53005-5950 Ph: (262) 894-1477 | Debbie S. Oldham, Lcsw, Cadc-d, Llc 17100 W Bluemound Rd Suite 204 Brookfield WI 53005-5950 Ph: (262) 894-1477 |
| NPI Number | 1215078209 |
|---|---|
| Provider Enumeration Date | 02/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215078209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14427 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 2398-123 (Wisconsin) | Primary |
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