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Individual

SHADAN A SIRWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7322 W RAWSON AVE, FRANKLIN, WI 53132-8117
(414) 292-4242
(262) 240-9745
Mailing address
8560 W WATERFORD AVE APT 6, GREENFIELD, WI 53228-2328
(206) 495-7614

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary
11476-123
WI

Other

Enumeration date
06/06/2022
Last updated
11/19/2023
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