Provider Information for 1548512759
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SHANE A SCHUHMACHER LPC, CSAC
Sex: Male
NPI: 1548512759
Last Updated: 2021-07-20
Certification Date: 2021-07-20
Certification Date: 2021-07-20
Details
| Name | Value | ||||||||||||||||
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| NPI | 1548512759 | ||||||||||||||||
| Enumeration Date | 2012-10-11 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 15701 COUNTY ROAD K DARLINGTON, WI 53530-9210 United States Phone: 608-776-4800 | Fax: | ||||||||||||||||
| Primary Practice Address | 627 MAIN ST DARLINGTON, WI 53530-1395 United States Phone: 608-776-4800 | Fax:608-776-4914 | ||||||||||||||||
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