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Individual

MRS. CHARLINE STEPHANIE HART SHEEHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APSW, SAC-IT

Contact information

Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-3105
(920) 674-6113
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-3105
(920) 674-6113

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20745-130
WI
1041C0700X
Clinical Social Worker
Primary
135863
WI

Other

Enumeration date
08/19/2024
Last updated
12/16/2025
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