Individual
STACI M KESTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 785-6266
Mailing address
1106 WEST ST, NECEDAH, WI 54646-8223
(608) 790-1409
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8091-120
WI
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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