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Individual

STACY L. WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CSAC, ICS

Contact information

Practice address
480 UNDERWOOD AVE, MONTELLO, WI 53949-9248
(608) 297-3181
(608) 297-2148
Mailing address
480 UNDERWOOD AVE, MONTELLO, WI 53949-9248
(608) 297-3124
(608) 297-8718

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15351-131
WI
163W00000X
Registered Nurse
Primary
120614
WI

Other

Enumeration date
07/19/2007
Last updated
05/10/2016
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