Individual
TODD ARTHUR STAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1702 JONQUIL LN, WAUSAU, WI 54401-7534
(616) 337-3838
Mailing address
1702 JONQUIL LN, WAUSAU, WI 54401-7534
(616) 337-3838
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8170-123
WI
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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