Stephanie L Simon Valid NPI

Individual provider · Clinical Social Worker · North Fond Du Lac, WI

NPI

1629605860

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

9382-123 (WI)

Sex

Female

Sole proprietor

No

Enumerated

2020-03-26

Last updated

2020-07-09