Individual
MRS. THERESA MARIE SHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,MA,LCGC,LPC
Contact information
Practice address
15300 WATERTOWN PLANK RD #106, ELM GROVE, WI 53122-7503
(414) 807-8934
Mailing address
2112 ANDY JOHN CT, GREEN BAY, WI 54311-6371
(920) 606-0130
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
WI
170300000X
Genetic Counselor (M.S.)
—
WI
Other
Enumeration date
01/04/2006
Last updated
05/07/2023
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