Individual
MRS. STACY LYNN GAERTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 N MAYFAIR RD, SUITE 425, WAUWATOSA, WI 53226-1505
(414) 727-4455
(414) 727-4690
Mailing address
560 4TH ST, PRAIRIE DU SAC, WI 53578-1136
(608) 643-3663
(608) 643-5014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
149014613
IL
104100000X
Social Worker
Primary
7510-123
WI
Other
Enumeration date
08/16/2009
Last updated
01/07/2014
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