Individual
KAITLYN STADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
W6304 MIDWAY RD, HORTONVILLE, WI 54944-8300
(920) 366-6203
Mailing address
W6304 MIDWAY RD, HORTONVILLE, WI 54944-8300
(920) 366-6203
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
WI
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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