Individual
LYNN ELLEN SHAW IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9455 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3559
(414) 257-7222
Mailing address
9455 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226
(414) 257-7222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6694-123
WI
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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