Provider Information for 1710069976
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Ms. DEBORAH JANE DEVLIN LSW, LPCC
Sex: Female
NPI: 1710069976
Last Updated: 2020-02-20
Certification Date: 2020-02-20
Certification Date: 2020-02-20
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1710069976 | ||||||||||||
| Enumeration Date | 2006-10-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 179 HUNT CLUB DR COPLEY, OH 44321-2735 United States Phone: 330-212-4876 | Fax:330-633-4294 | ||||||||||||
| Primary Practice Address | 246 NORTHLAND DR MEDINA, OH 44256-3441 United States Phone: 330-725-9195 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 30 NORTHWEST AVE | ||||||||||||
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