Individual
SHAWN WILLIAM NORTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
700 OWENA ST, MARINETTE, WI 54143-1953
(715) 504-2150
Mailing address
N2541 DEER PATH DR, MARINETTE, WI 54143-9517
(805) 302-9615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132745-121
WI
104100000X
Social Worker
6851115100
MI
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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