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Individual
DR. KATIE M STADTHER
Active
Individual
DR. KATIE M STADTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP6595
MN
Other
Enumeration date
10/01/2020
Last updated
02/26/2021
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