Individual
STEPHEN WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1478 KENWOOD CTR, SUITE 1, MENASHA, WI 54952-1161
(920) 886-9319
(920) 886-9357
Mailing address
1478 KENWOOD CTR, SUITE 1, MENASHA, WI 54952-1161
(920) 886-9319
(920) 886-9357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2780
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39652900
—
WI
Enumeration date
07/13/2006
Last updated
07/08/2007
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