Individual
MRS. SHAWANNA DORVILIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
3505 N 124TH ST, BROOKFIELD, WI 53005-2489
(414) 431-4444
Mailing address
5828 N 76TH ST, MILWAUKEE, WI 53218-1836
(414) 745-0631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132591-121
WI
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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