Debra Jean Waite, LICSW
NPI #1023084480 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1023084480
- Entity Type
- Individual
- Name
- Debra Jean Waite, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Feb 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5100 GAMBLE DR
- Address 2
- SUITE 100 MAIL STOP 31200A
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-1521
- Phone
- (952) 593-8777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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