Individual
MR. STACEY L. SALYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1466 WATER ST, SUITE 2, STEVENS POINT, WI 54481-2919
(715) 341-6672
(715) 341-8004
Mailing address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8279-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144528715
—
WI
Enumeration date
02/28/2011
Last updated
12/02/2015
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