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Individual

MS. STACY LEE KNOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2961 YARMOUTH GREENWAY DR STE 2, FITCHBURG, WI 53711-5809
(608) 279-2481
Mailing address
791 WATER ST STE 10, PRAIRIE DU SAC, WI 53578-1028
(608) 279-2481
(608) 279-2481

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4411
WI
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40934500
WI
Enumeration date
06/19/2006
Last updated
10/27/2023
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