Individual
ELLIE DARLINE STUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1200 2ND ST APT 8, PEPIN, WI 54759-3626
(651) 247-6872
Mailing address
530 7TH AVE RM 501, NEW YORK, NY 10018-4850
(184) 441-5459
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24977
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
925373461
UNITED HEALTHCARE
MN
Enumeration date
07/20/2022
Last updated
07/20/2022
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