Individual
MS. SHANNON RENEE OLSON WIETRZNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
N17W24222 RIVERWOOD DR STE 170, WAUKESHA, WI 53188-1134
(773) 320-3098
Mailing address
N24W23870 TALON DR, WAUKESHA, WI 53188-1830
(773) 320-3098
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8467-123
WI
Other
Enumeration date
01/11/2021
Last updated
03/25/2025
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