Individual
STEPHANIE L MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4811 S 76TH ST STE 208, GREENFIELD, WI 53220-4352
(414) 361-1400
Mailing address
4811 S 76TH ST STE 208, GREENFIELD, WI 53220-4352
(414) 361-1400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7442-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7442-125
PROFESSIONAL LICENSE
WI
Enumeration date
10/14/2019
Last updated
03/13/2025
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