Individual
BRADY STEFANCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 13TH AVE, NEW GLARUS, WI 53574-8919
(844) 580-1967
Mailing address
5329 LACY RD, FITCHBURG, WI 53711-5313
(920) 207-8664
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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