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Individual

STEVEN MATTHEW CHARPENTIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD, LP

Contact information

Practice address
137 E 3RD ST, NEW RICHMOND, WI 54017-1830
(715) 781-9542
(715) 430-2261
Mailing address
609 5TH AVE, CLEAR LAKE, WI 54005-3928
(715) 781-9542
(715) 430-2261

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5544-125
WI
103TC0700X
Clinical Psychologist
Primary
4039-57
WI

Other

Enumeration date
10/08/2012
Last updated
01/09/2024
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