Dezell, Gregory
Dezell, Gregory is an sole proprietor health care provider with primary practice located at 1190 Prairie St , Prairie Du Sac WI 53578-2044. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dezell, Gregory can be contacted via phone (608) 370-6551.Contact Information
Primary practice address
1190 Prairie St
Prairie Du Sac WI 53578-2044
Phone: (608) 370-6551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9553-123 | Wisconsin |
Profile Details
| NPI number | 1699368050 |
|---|---|
| LBN Legal business name | Dezell, Gregory |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2021 |
| Last updated | Oct 28th, 2021 - about 5 years ago |
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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