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Individual

DENNIS RAY STERWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC III

Contact information

Practice address
1315 W MAIN ST, WATERTOWN, WI 53094
(920) 261-4100
(920) 261-8801
Mailing address
PO BOX 364, WATERTOWN, WI 53094
(920) 261-4100
(920) 261-8801

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1739
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39184249614
UNITY HEALTH INS WATERTOW
WI
01
39184249615
UNITY HEALTH INS LAKE MIL
WI
05
39351600
WI
Enumeration date
08/03/2006
Last updated
07/08/2007
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