Individual
CLAIRE A STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
2901 HUNTERS TRL, PORTAGE, WI 53901-3403
(608) 742-5518
(608) 742-4087
Mailing address
2901 HUNTERS TRL, PORTAGE, WI 53901-3403
(608) 742-5518
(608) 742-4087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
131327
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131327-121
APSW LICENSE
WI
Enumeration date
04/25/2019
Last updated
04/25/2019
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