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Individual

SHELLIE K BABCOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
6121 GREEN BAY RD, SUITE 220, KENOSHA, WI 53142-2926
(262) 652-7222
Mailing address
6121 GREEN BAY RD STE 240, KENOSHA, WI 53142-2929
(262) 564-5305
(262) 564-5306

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7968-123
WI

Other

Enumeration date
01/02/2014
Last updated
05/14/2019
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