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Individual

SHANNON THERESE STOLARICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
222 N WALNUT ST # AB, REEDSBURG, WI 53959-1665
(224) 475-3222
Mailing address
505 HERDA AVE, TWIN LAKES, WI 53181-9692
(224) 475-3222

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
131742-121
WI

Other

Enumeration date
03/07/2023
Last updated
03/07/2023
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