KIAH G STALOCH

DETROIT LAKES, MN
NPI1619344900
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  LP6386)
Enumeration Date2015-08-21
Last Update Date2021-06-24
Business Address
KIAH G STALOCH PsyD
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501-3409
Phone number: 218-847-5611
Mailing Address
KIAH G STALOCH PsyD
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number: 701-364-8000