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Individual

DR. ADAM MILES STURDEVANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1049 DOUSMAN ST, GREEN BAY, WI 54303-3003
(920) 888-6868
Mailing address
1049 DOUSMAN ST, GREEN BAY, WI 54303-3003
(920) 888-6868

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14358-130
WI
103TC0700X
Clinical Psychologist
Primary
3638-57
WI

Other

Enumeration date
05/04/2009
Last updated
10/14/2020
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