Individual
MS. LUCINDA STAUDACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2038 N BARTLETT AVE, MILWAUKEE, WI 53202-1059
(414) 271-2565
Mailing address
2038 N BARTLETT AVE, MILWAUKEE, WI 53202-1059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6604-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43599500
—
WI
Enumeration date
04/02/2007
Last updated
07/08/2007
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