Individual
MR. STEVEN ROBERT CLOTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.E.
Contact information
Practice address
1488 KENWOOD DR, MENASHA, WI 54952-1152
(920) 883-9336
Mailing address
1488 KENWOOD DR, MENASHA, WI 54952-1152
(920) 883-9336
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
890-58
WI
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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