Individual
LARRY STELLOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NO. 15850-132
Contact information
Practice address
2319 W CAPITOL DR, MILWAUKEE, WI 53206-1919
(414) 442-2033
Mailing address
2319 W CAPITOL DR, MILWAUKEE, WI 53206-1919
(414) 442-2033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15850-132
WI
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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