Lynne, Debra

Lynne, Debra is an sole proprietor health care provider with primary practice located at 101 W Edison Ave Ste 215 , Appleton WI 54915-1390. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lynne, Debra can be contacted via phone (920) 410-9036.

Contact Information

Primary practice address
101 W Edison Ave Ste 215 Appleton WI 54915-1390
Phone: (920) 410-9036
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6899-123 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6899 Wisconsin

Profile Details

NPI number 1255408043
LBN Legal business name Lynne, Debra
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Feb 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255408043 NPPES
Wisconsin MEDICAID 41007600

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