Individual
STACEY L ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 NORTHWESTERN AVE, MOUNT PLEASANT, WI 53406-1504
(262) 583-2714
Mailing address
2435 20TH ST, RACINE, WI 53403-2420
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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