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Individual

MRS. DEANNA DAHLEN STADLER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6506 SCHROEDER RD, MADISON, WI 53711-2401
(608) 441-0123
(608) 441-0126
Mailing address
6506 SCHROEDER RD, MADISON, WI 53711-2401
(608) 441-0123
(608) 441-0126

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
702-124
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40947000
WI
01
702-124
LICENSE
WI
Enumeration date
06/01/2006
Last updated
07/09/2007
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