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Individual

STEPHANIE PREVOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Mailing address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005-226
WI

Other

Enumeration date
01/08/2014
Last updated
11/27/2019
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