Gregory Dezell, LCSW
NPI #1699368050 in Prairie Du Sac, Wisconsin
Provider Information
- NPI Number
- 1699368050
- Entity Type
- Individual
- Name
- Gregory Dezell, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Feb 17, 2021
- Last Updated
- Oct 28, 2021
Practice Location
- Address
- 1190 PRAIRIE ST
- City
- Prairie Du Sac
- State
- Wisconsin
- ZIP Code
- 53578-2044
- Phone
- (608) 370-6551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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