SHADOW BACKUS

MADISON, WI
NPI1962057463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  6526-123)
Enumeration Date2019-08-02
Last Update Date2020-02-04
Business Address
SHADOW BACKUS LCSW, LMT
34 SCHROEDER CT
MADISON, WI 53711-2526
Phone number: 608-409-3400
Mailing Address
SHADOW BACKUS LCSW, LMT
1041 GALWAY AVE
WAUNAKEE, WI 53597-8956
Phone number: 608-409-3400