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Individual

MS. BARBARA HYDE STOHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW,LMFT

Contact information

Practice address
115 E WALDO BLVD, MANITOWOC, WI 54220-2907
(920) 682-1131
(920) 682-5087
Mailing address
3120 MEMORIAL DR, TWO RIVERS, WI 54241-3229
(920) 657-1784
(920) 657-1784

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2484-123
WI
106H00000X
Marriage & Family Therapist
611-124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40941000
WI
Enumeration date
08/24/2006
Last updated
05/08/2017
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