Individual
ELLEN STUECKROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2017036694
MO
1041C0700X
Clinical Social Worker
Primary
11246123
WI
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/21/2018
Last updated
08/21/2023
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