Individual
MR. SHAWON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2266 N PROSPECT AVE STE 304, MILWAUKEE, WI 53202-6306
(414) 405-0670
Mailing address
2022 E EDGEWOOD AVE, SHOREWOOD, WI 53211-2935
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8196-226
WI
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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