Individual
KATIE MARIE STADHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1306 MARSHALL ST, SAINT PETER, MN 56082-4500
(507) 931-8040
(507) 931-8060
Mailing address
1306 MARSHALL ST, SAINT PETER, MN 56082-4500
(507) 931-8040
(507) 931-8060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21955
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21955
LICSW
MN
Enumeration date
03/05/2015
Last updated
09/09/2021
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