Individual
STACIE LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8100
Mailing address
35669 50TH AVE, STANLEY, WI 54768-6163
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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