Organization
SHELLY LUND PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY LUND LCSW (CLINICAL SOCIAL WORKER/COUNSELOR)
(262) 370-2778
Entity
Organization
Contact information
Practice address
400 GENESEE ST FL 3, DELAFIELD, WI 53018-1867
(262) 370-2778
Mailing address
1815 BARK RIVER DR., HARTLAND, WI 53029
(262) 370-2778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2774-123
WI
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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