Individual
SHANNON STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
W1343 MORTENSEN RD, BROOKLYN, WI 53521-8925
(608) 692-1663
Mailing address
W1343 MORTENSEN RD, BROOKLYN, WI 53521-8925
(608) 692-1663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12379-123
WI
1041S0200X
School Social Worker
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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