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Individual

MS. STEPHANIE A DAUGHERTY-DENNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, CISW

Contact information

Practice address
2000 ENGEL ST STE 201, MONONA, WI 53713-4822
(608) 440-9029
(608) 455-0883
Mailing address
1101 STARLIGHT DR, MADISON, WI 53711-2727
(608) 316-5687

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/07/2011
Last updated
12/04/2023
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