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Individual

SHAUNA PUTZY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1324 W CLAIREMONT AVE, STE 6, EAU CLAIRE, WI 54701
(715) 895-7115
(715) 836-0065
Mailing address
1324 W CLAIREMONT AVE, STE 6, EAU CLAIRE, WI 54701
(715) 895-7115

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5709-125
WI
103K00000X
Behavior Analyst

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10049043
WI
Enumeration date
10/28/2011
Last updated
08/25/2023
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