Individual
MS. MICHAELE LEE SHIPWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
1720 MERRILL AVE, SUITE 300, WAUSAU, WI 54401-3429
(715) 675-3458
(715) 675-7238
Mailing address
PO BOX 118, WAUSAU, WI 54402-0118
(715) 675-3458
(715) 675-7238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
305-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39560400
—
WI
Enumeration date
08/21/2006
Last updated
05/17/2013
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