Individual
ELIZABETH A STEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 E PARADISE DR, WEST BEND, WI 53095-5451
(262) 292-2570
Mailing address
910 E PARADISE DR, WEST BEND, WI 53095-5451
(262) 292-2570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
127221121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127221121
SOCIAL WORK CERTIFICATION
WI
Enumeration date
08/29/2012
Last updated
08/29/2012
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