Individual
MS. STEPHANIE L HUESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LCSW
Contact information
Practice address
602 WALDOCH DR, SUITE 100/NORTH PARK CLINICAL COUNSELING, APPLETON, WI 54913-8445
(920) 560-5531
(920) 560-5533
Mailing address
602 WALDOCH DR, SUITE 100/NORTH PARK CLINICAL COUNSELING, APPLETON, WI 54913-8445
(920) 560-5531
(920) 560-5533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3745-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41001500
—
WI
Enumeration date
09/26/2006
Last updated
10/27/2007
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