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1235121260
SHELLY ROSE STATZ
HUDSON, WI
NPI
1235121260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7021-123)
Enumeration Date
2005-08-16
Last Update Date
2016-06-06
Business Address
Ms. SHELLY ROSE STATZ LCSW
2910 ENLOE ST
HUDSON, WI 54016-4538
Phone number: 715-381-5437
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Mailing Address
Ms. SHELLY ROSE STATZ LCSW
2925 MONDOVI RD
EAU CLAIRE, WI 54701-6141
Phone number: 715-832-0238
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