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Individual

LAUREN SHAWL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2923 MARKETPLACE DR STE 204, FITCHBURG, WI 53719-5321
(608) 549-5781
Mailing address
680 FAIRVIEW TER, VERONA, WI 53593-1506
(608) 513-9977

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11588-123
WI
1041C0700X
Clinical Social Worker
11588-123
WI
1041S0200X
School Social Worker
3001023559
WI

Other

Enumeration date
07/28/2020
Last updated
09/19/2024
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