Individual
SHANNON COLE-CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7904
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7904-123
STATE LICENSE - LCSW
WI
Enumeration date
05/02/2013
Last updated
03/01/2016
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