Individual
JENNIFER STUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4200
Mailing address
505 BROADWAY ST, BARABOO, WI 53913-2183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19289-130
WI
Other
Enumeration date
11/23/2009
Last updated
05/03/2021
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