Individual
STACY E ZINUTICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
W156N8327 PILGRIM RD STE 402, MENOMONEE FALLS, WI 53051-3776
(262) 251-1112
Mailing address
W156N8327 PILGRIM RD STE 402, MENOMONEE FALLS, WI 53051-3776
(262) 251-1112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5129-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5129-125
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
06/24/2011
Last updated
12/12/2019
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