MEDICARE: STEPHANIE LYNN LIGMAN APSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	134889-121	WI

General Provider Information

NPI Number	:	1184467508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE LYNN LIGMAN APSW

Provider Business Mailing Address
First Line	:	110 DEWEY DR
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54482-9654
Country	:	US
Telephone Number	:	715-340-3125
Fax Number	:

Provider Business Practice Location Address
First Line	:	2417 POST RD
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-6134
Country	:	US
Telephone Number	:	855-607-8242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2024
Last Update Date	:	06/21/2024

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