Individual
KRISTEN STODOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17100 W NORTH AVE, BROOKFIELD, WI 53005-4436
(262) 244-6177
Mailing address
1035 W GLEN OAKS LN STE 110, MEQUON, WI 53092-3392
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6343-125
WI
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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