Individual
STACEY L PENDZICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1967 SYLVAN DR, GREEN BAY, WI 54313-4824
(414) 708-1179
Mailing address
1967 SYLVAN DR, GREEN BAY, WI 54313-4824
(414) 708-1179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7472-123
WI
Other
Enumeration date
01/23/2009
Last updated
03/18/2026
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