Individual
STACEY CLARE HOSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 767-3350
Mailing address
1818 243RD AVE NW, SAINT FRANCIS, MN 55070-8777
(763) 232-6587
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NA
MN
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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