SearchWisconsin101Y00000X

Stephanie Smith, CLC

NPI 1487160644 · on the registry since 2017 · sole proprietor

Practice

Address
5126 Martha Dr
West Bend, WI 53095
Phone
(262) 501-1359

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin