Individual
KAITLYN RIKKE STOLLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1271 CROWN CT, DE PERE, WI 54115-3814
(920) 327-3416
Mailing address
1271 CROWN CT, DE PERE, WI 54115-3814
(920) 327-3416
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
852897
WI
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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