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Individual

SHELBRIA LEIGH-ANNE WACHTVEITL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, APSW, LCSW

Contact information

Practice address
1905 CENTER AVE, STE 170, JANESVILLE, WI 53546-2805
(608) 352-9701
Mailing address
1905 CENTER AVE, JANESVILLE, WI 53546-2842

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
132273-121
WI
1041C0700X
Clinical Social Worker
Primary
12618-123
WI

Other

Enumeration date
05/20/2024
Last updated
11/17/2025
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