Stacey Ann Stauble

NPI 1487880662 - Social Worker - 104100000X

NPI Details
NPI 1487880662
Gender Female
Enumeration Date 06/02/2009
Last Updated 11/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3525 MONTEREY DR
ST LOUIS PARK MN, 55416-5275, US
Phone (952) 993-6200
Fax
Business Location
6465 WAYZATA BLVD
STE 210
MINNEAPOLIS MN, 55426-1728, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State Minnesota
License Number 17220
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According to our database, Stacey Ann Stauble NPI is 1487880662, taxonomy code is 104100000X and license number is 17220, license state is located at Minnesota. Stacey Ann Stauble physically located at 3525 Monterey Dr, St Louis Park MN, 55416-5275. NPI Number Stacey Ann Stauble has the Individual type.

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1487880662 NPI number is provided on an as is basis without warranty of any kind. 1487880662 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Ann Stauble are for informational purposes only.