STACY MARIE CARLSON

PORTAGE, WI
NPI1659890416
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  3232)
Enumeration Date2017-09-13
Last Update Date2017-09-13
Business Address
STACY MARIE CARLSON MS, CRC, LPC-IT
322 DEWITT ST
PORTAGE, WI 53901-2114
Phone number: 608-280-2700
Mailing Address
STACY MARIE CARLSON MS, CRC, LPC-IT
25 KESSEL CT STE 105
MADISON, WI 53711-6227
Phone number:
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