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1164288916
SCOTT C STAUTER
MADISON, WI
NPI
1164288916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 134756-121)
Enumeration Date
2024-02-27
Last Update Date
2024-02-27
Business Address
SCOTT C STAUTER
700 RAY O VAC DR STE 103
MADISON, WI 53711-2468
Phone number: 608-444-4856
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Mailing Address
SCOTT C STAUTER
2145 FOX AVE
MADISON, WI 53711-1920
Phone number: 608-444-4856
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MOONKRESS THERAPY AND CONSULTING LLC