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Individual

ELIZABETH ANN SHADEL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
1 S MAIN ST, JANESVILLE, WI 53545-3922
(608) 757-0404
(608) 757-2319
Mailing address
1 S. MAIN, JANESVILLE, WI 53547-8010
(608) 757-0404
(608) 757-2319

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3597-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40998200
WI
Enumeration date
02/24/2006
Last updated
07/09/2007
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