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General NPI Number Information
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NPI Number | 1952840563
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Entity Type | Individual
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Provider Name | JULIE M. SHEA LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 704 SAND LAKE RD STE 207E
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City | ONALASKA
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State | WI
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Zip | 54650-2400
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Country | US
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Telephone | 608-218-4245
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Fax | 920-383-3299
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Provider Business Mailing Address
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Address Line | W7933 VERMEER ST
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City | HOLMEN
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State | WI
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Zip | 54636-4201
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Country | US
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Telephone | 608-218-4245
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Fax | 920-383-3299
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8368-123
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License Number State | WI
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