Individual
SHANNON COLLEEN HUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
531 3RD ST S, WISCONSIN RAPIDS, WI 54494
(715) 323-6856
Mailing address
531 3RD ST S, WISCONSIN RAPIDS, WI 54494
(715) 323-6856
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
885-58
WI
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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