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STEPHANIE BACIAK EDELBLUTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC IT

Contact information

Practice address
2275 DEMING WAY STE 180, MIDDLETON, WI 53562-5527
(608) 282-8200
(608) 262-9246
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7059-226
WI

Other

Enumeration date
08/25/2022
Last updated
08/25/2022
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