Provider Information for 1487015152
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SHAWNA KRIENITZ LPC, ATR, CEDS
Other Names:Former Name:SHAWNA DORIOTSex: Female
NPI: 1487015152
Last Updated: 2025-04-03
Certification Date: 2025-04-03
Certification Date: 2025-04-03
Details
| Name | Value | ||||||||
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| NPI | 1487015152 | ||||||||
| Enumeration Date | 2016-03-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 245 N METRO DR APPLETON, WI 54913-8572 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 3416 N ASSOCIATION DR APPLETON, WI 54914-1479 United States Phone: 920-364-9078 | Fax:920-243-1972 | ||||||||
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