Individual
DR. STEPHANIE R RASZKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CSAC
Contact information
Practice address
316 5TH ST STE 2, RACINE, WI 53403-4606
(262) 308-8085
(262) 364-3679
Mailing address
PO BOX 1943, KENOSHA, WI 53141-1943
(262) 308-8085
(262) 364-3679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15310-132
WI
103T00000X
Psychologist
Primary
3002-57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40968000
—
WI
Enumeration date
05/02/2008
Last updated
01/26/2023
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