Individual
MS. CAROLE A STAELGRAEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LP
Contact information
Practice address
710 S 2ND ST, MANKATO, MN 56001-3810
(507) 625-7660
Mailing address
300 KRASON DR, MADISON LAKE, MN 56063-9339
(507) 243-3248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8343198
MN
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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