DEBRA JOHANSEN

KENOSHA, WI
NPI1467537423
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WI  1627-057)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
-- DEBRA JOHANSEN phd
6121 GREEN BAY RD SUITE 230
KENOSHA, WI 53142-2926
Phone number: 262-654-8366
Mailing Address
-- DEBRA JOHANSEN phd
6121 GREEN BAY RD SUITE 230
KENOSHA, WI 53142-2926
Phone number: 262-654-8366
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