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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA L STAHLE, LICSW

Active

REBECCA L STAHLE, LICSW is a Clinical Social Worker healthcare provider located in DEEPHAVEN, Minnesota. NPI 1891862538 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · DEEPHAVEN, MN

Registration Details

NPI Number
1891862538
Provider Type
Individual
Gender
Female
NPI Issued
Nov 29, 2006 (19.698978897489 yrs)
Last Updated
Mar 26, 2010
License
13015 (MN)

Practice Information

Address
18300 MTKA BLVD., STE 210
DEEPHAVEN, MN, 553913272
Browse MN providers · Browse ZIP 55391
Phone
9524049124
Fax
9524049273
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.