Individual
REBECCA STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
441 S PINE ST, WACONIA, MN 55387-1832
(952) 412-3914
Mailing address
441 S PINE ST, WACONIA, MN 55387-1832
(952) 412-3914
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25262
MN
104100000X
Social Worker
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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