DANNIE STALLWORTH

WAUWATOSA, WI
NPI1710714712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  8079)
Enumeration Date2024-09-16
Last Update Date2024-09-16
Business Address
DANNIE STALLWORTH LPC-IT
4025 N 92ND ST
WAUWATOSA, WI 53222-1613
Phone number: 414-435-1115
Mailing Address
DANNIE STALLWORTH LPC-IT
4025 N 92ND ST
WAUWATOSA, WI 53222-1613
Phone number: 414-435-1115
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