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Individual
MRS. KATHLEEN STOCKMAN
Active
Individual
MRS. KATHLEEN STOCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15891-132
WI
104100000X
Social Worker
129568-121
WI
Other
Enumeration date
02/20/2015
Last updated
06/16/2022
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