Individual
MR. ADAM M STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, APSW
Contact information
Practice address
12225 71ST ST, KENOSHA, WI 53142-7320
(262) 948-4870
(262) 948-4871
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
128577-121
WI
1041C0700X
Clinical Social Worker
Primary
8307
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100028171
—
WI
Enumeration date
12/17/2012
Last updated
09/20/2024
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