Individual
JULIE A STOCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
627 BAY SHORE DR, OSHKOSH, WI 54901-5228
(920) 205-7363
Mailing address
425 E BREWSTER ST, APPLETON, WI 54911-3715
(920) 205-7363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7716-123
WI
Other
Enumeration date
02/02/2011
Last updated
04/05/2013
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