Individual
MS. STEPHANIE HALL DELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1177 QUAIL CT STE 101, PEWAUKEE, WI 53072
(262) 701-7052
Mailing address
W311S496 HIDDEN HOLW, DELAFIELD, WI 53018-3268
(262) 352-2163
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3405-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40997900
—
WI
Enumeration date
05/16/2007
Last updated
05/14/2018
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