Individual
DR. LYNN MARY STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
3669-125
WI
103T00000X
Psychologist
Primary
2777-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002879
—
WI
Enumeration date
03/19/2009
Last updated
10/20/2020
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