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Individual

DALE M KOLSTAD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
200 E LA CROSSE ST, JUNEAU COUNTY HUMAN SERVICES, MAUSTON, WI 53948-2101
(608) 847-2400
(608) 847-9599
Mailing address
200 E LA CROSSE ST, JUNEAU COUNTY HUMAN SERVICES, MAUSTON, WI 53948-2101
(608) 847-2400
(608) 847-9599

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1016125
WI
104100000X
Social Worker
4042123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39218500
WI
Enumeration date
05/03/2006
Last updated
09/11/2025
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