Individual
SHANNON ELIZABETH BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2910 ENLOE ST, HUDSON, WI 54016-4538
(715) 377-0000
Mailing address
442 HIGHLAND VW, HOULTON, WI 54082-2408
(715) 954-4585
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4899-125
WI
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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