Individual
MS. SHANNON LEIGH DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8383 GREENWAY BLVD, SUITE 600, MIDDLETON, WI 53562-4626
(414) 339-5499
Mailing address
8383 GREENWAY BLVD, SUITE 600, MIDDLETON, WI 53562-4626
(414) 339-5499
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
918-124
WI
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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