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1619344900
KIAH G STALOCH
DETROIT LAKES, MN
NPI
1619344900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN LP6386)
Enumeration Date
2015-08-21
Last Update Date
2021-06-24
Business Address
KIAH G STALOCH PsyD
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
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Mailing Address
KIAH G STALOCH PsyD
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: 701-364-8000
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