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Individual

JULIA ROSE SHAUGHNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
2727 N GRANDVIEW BLVD STE 205, WAUKESHA, WI 53188-1671
(262) 547-5567
Mailing address
2727 N GRANDVIEW BLVD STE 205, WAUKESHA, WI 53188-1671
(262) 547-5567

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
171430
WI
106H00000X
Marriage & Family Therapist
Primary
2053-124
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39-0806174
WI
Enumeration date
11/14/2018
Last updated
06/21/2023
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