Individual
KAYLA STOLTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 ELM ST, WEST BEND, WI 53095-3205
(262) 652-2406
(262) 652-2408
Mailing address
2108 63RD ST, KENOSHA, WI 53143-4454
(262) 652-2406
(262) 652-2408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
130484
WI
1041C0700X
Clinical Social Worker
Primary
9554-123
WI
Other
Enumeration date
04/11/2017
Last updated
11/16/2020
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