Search › Wisconsin › 1041C0700X
Shanna Sullivan, LCSW
NPI 1548580426 · on the registry since 2010
Practice
- Address
- 620 S 76th St
Milwaukee, WI 53214 - Phone
- (414) 453-1400
- Fax
- (414) 453-2538
- Organisation at this address
- Schaefer Medical Sc
Children'S Service Society Of Wisconsin
Children'S Service Society Of WisconsinInferred from a shared address, not stated in the registry. - Clinicians at this address
- 80
Additional practice sites
- 7950 N Port Washington Rd, Fox Point, WI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin