Individual
MRS. STEPHANIE A GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
3800 N MAYFAIR RD # 1, WAUWATOSA, WI 53222-2213
(262) 536-8333
Mailing address
1812 MICHAEL DR, WAUKESHA, WI 53189-7638
(262) 309-5521
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7671-226
WI
Other
Enumeration date
11/01/2023
Last updated
11/06/2023
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