Organization
SHAWANO COUNTY DEPARTMENT OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK KANE (DIRECTOR)
(715) 526-4700
Entity
Organization
Contact information
Practice address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 524-6832
Mailing address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 524-6832
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3157-226
WI
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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