Individual
SHAWN DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4330 GOLF TER STE 218, EAU CLAIRE, WI 54701-4688
(920) 857-9041
Mailing address
1575 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
418-140
WI
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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