Individual
HEATHER MARIA STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
2600 WARD ST, SALUCARE, LACROSSE, WI 54601
(608) 787-8200
(608) 787-8211
Mailing address
891 W PINE RD, MUSCODA, WI 53573-9312
(608) 604-5370
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
403-027
WI
Other
Enumeration date
09/08/2008
Last updated
08/07/2013
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