Individual
MARCIA STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
881 MADISON AVE, MANKATO, MN 56001-6139
(507) 225-0450
(507) 779-7182
Mailing address
881 MADISON AVE, MANKATO, MN 56001-6139
(507) 225-0450
(507) 779-7182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1685
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124028253
—
MN
Enumeration date
07/29/2005
Last updated
08/01/2023
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