Individual
STACY KLETTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7950
(262) 970-6696
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7950
(262) 970-6696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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