Organization
SHAWL THERAPY AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN SHAWL LCSW (LICENSED CLINICAL SOCIAL WORKER)
(608) 218-4493
Entity
Organization
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) 218-4493
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619586393
—
WI
Enumeration date
09/19/2024
Last updated
09/19/2024
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