Individual
MS. BRIENNE A SHAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
571 BRAUND ST, ONALASKA, WI 54650
(608) 785-7000
(608) 785-7477
Mailing address
571 BRAUND ST, ONALASKA, WI 54650-8556
(608) 785-7000
(608) 785-7477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9391-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100068761
—
WI
Enumeration date
07/06/2017
Last updated
10/19/2023
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