Provider Demographics
NPI:1174233076
Name:ARBUCKLE, DEBRA LYNN (SWML)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:LYNN
Last Name:ARBUCKLE
Suffix:
Gender:F
Credentials:SWML
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 W DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:CLARINDA
Mailing Address - State:IA
Mailing Address - Zip Code:51632-2509
Mailing Address - Country:US
Mailing Address - Phone:712-542-2388
Mailing Address - Fax:
Practice Address - Street 1:216 W DIVISION ST
Practice Address - Street 2:
Practice Address - City:CLARINDA
Practice Address - State:IA
Practice Address - Zip Code:51632-2509
Practice Address - Country:US
Practice Address - Phone:712-542-2388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1128981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical