Organization
SHELLIE K BABCOCK, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLIE K BABCOCK LCSW (LCSW)
(262) 564-5305
Entity
Organization
Contact information
Practice address
705 50TH ST, KENOSHA, WI 53140-3336
(262) 564-5305
(262) 564-5306
Mailing address
6123 GREEN BAY RD STE 240, KENOSHA, WI 53142-2927
(262) 564-5305
(262) 564-5306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7968-123
WI
Other
Enumeration date
01/12/2016
Last updated
05/14/2019
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