Waite, Debra Jean

Waite, Debra Jean is an individual health care provider with primary practice located at 5100 Gamble Dr Suite 100 Mail Stop 31200A, Saint Louis Park MN 55416-1521. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waite, Debra Jean can be contacted via phone (952) 593-8777.

Contact Information

Primary practice address
5100 Gamble Dr Suite 100 Mail Stop 31200A Saint Louis Park MN 55416-1521
Phone: (952) 593-8777
Fax: (952) 595-6408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2163 Minnesota

Profile Details

NPI number 1023084480
LBN Legal business name Waite, Debra Jean
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 8th, 2007 - about 19 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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