Individual
JONI LYNN STADTHERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W
Contact information
Practice address
1400 MADISON AVE STE 352, MANKATO, MN 56001-4458
(507) 385-4163
Mailing address
1400 MADISON AVE STE 352, MANKATO, MN 56001-4458
(507) 381-7588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18454
MN
Other
Enumeration date
05/14/2014
Last updated
07/22/2020
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