Individual
BRIANNA SUE STAUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11185 LAKE BLVD, CHISAGO CITY, MN 55013-9817
(651) 755-4276
(888) 972-5307
Mailing address
PO BOX 974, LINDSTROM, MN 55045-0974
(651) 755-4276
(888) 972-5307
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
31355
MN
1041C0700X
Clinical Social Worker
Primary
31355
MN
Other
Enumeration date
10/24/2024
Last updated
03/20/2026
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