Individual
SCOTT C STAUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 RAY O VAC DR STE 103, MADISON, WI 53711-2468
(608) 444-4856
Mailing address
2145 FOX AVE, MADISON, WI 53711-1920
(608) 444-4856
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
134756-121
WI
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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