Individual
LACEY M STADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
219 N GROVE AVE, OWATONNA, MN 55060-2415
(507) 291-4610
Mailing address
219 N GROVE AVE, OWATONNA, MN 55060-2415
(507) 291-4610
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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