Individual
MS. SHAWNE NICOLE JUDNIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
W18105 HEMLOCK RD, WITTENBERG, WI 54499-8647
(715) 253-2116
Mailing address
5341 SPRUCE AVE, WISCONSIN RAPIDS, WI 54494-8175
(715) 325-6914
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4264-125
WI
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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