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Contact Information

THERESA M SHUCK, MS,MA,LCGC,LPC
15300 WATERTOWN PLANK RD #106
ELM GROVE, WI53122-7503
 Phone: 414-807-8934
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Genetic Counselor, MS

170300000X
Indicates primary specialty

NPI Profile & details for THERESA M SHUCK · (Female)

NPI Number 1598743239
Status Active
Credentials MS,MA,LCGC,LPC
Entity Individual
Enumeration date 01/04/2006
Last updated 05/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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