Individual
SHAE MARIE HAVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1421 BROADWAY ST N STE 114B, MENOMONIE, WI 54751-4728
(715) 308-5742
(888) 972-4831
Mailing address
1421 BROADWAY ST N STE 114B, MENOMONIE, WI 54751-4728
(715) 308-5742
(888) 972-4831
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
127423-121
WI
1041C0700X
Clinical Social Worker
Primary
9548
WI
Other
Enumeration date
07/05/2019
Last updated
09/20/2024
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