Individual
STACEY RICHARD-BAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LISW
Contact information
Practice address
6058 S CHESTNUT ST STE 100, PLATTEVILLE, WI 53818-8947
(608) 342-4853
(608) 348-3072
Mailing address
3055 INDIANA CT, DUBUQUE, IA 52001-5482
(563) 581-2064
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
074703
IA
104100000X
Social Worker
Primary
130055-121
WI
Other
Enumeration date
12/28/2015
Last updated
12/14/2019
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