NPI 1003034216

Nancy a Shirk

Practitioner Addiction (Substance Use Disorder) Counselor Plymouth, WI

Practice location

Address: 107 Division St, Plymouth, WI 53073-1801
Phone: (920) 892-7788
Fax: (920) 893-5459
Mailing address: 8026 S 85th St, Franklin, WI 53132-8571

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 962-132 (WI)

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Registry record

NPI: 1003034216
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.