Most Relevant Information
Provider Data
| NPI Number: | 1003208505 |
| Provider Name: | KATHLEEN STOCKMAN MSW, LCSW, CSAC |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 129568-121 |
Most Important Dates
| Enumeration Date: | 02/20/2015 |
| Last Updated: | 06/16/2022 |
Provider Practice Location
2851 UNIVERSITY AVE
GREEN BAY
WI
543115855
Practice Location Phone/Fax
| Phone: | 9204312500 |
| Fax: |
Provider Mailing Location
958 COPPENS RD
GREEN BAY
WI
543033865
Provider Mailing Phone/Fax
| Phone: | 9203622603 |
| Fax: |