Individual
MS. SHARON LOUISE MUTTONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3901 HOLLYWOOD RD, MARATHON, WI 54448-9786
(715) 297-1372
(715) 848-2030
Mailing address
3901 HOLLYWOOD RD, MARATHON, WI 54448-9786
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
473-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39252400
—
WI
Enumeration date
11/13/2006
Last updated
07/08/2007
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