Provider Demographics
NPI:1073747192
Name:CURTIS, SHARON ANN (MS)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ANN
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3073 COUNTY ROAD F
Mailing Address - Street 2:
Mailing Address - City:BARNEVELD
Mailing Address - State:WI
Mailing Address - Zip Code:53507-9776
Mailing Address - Country:US
Mailing Address - Phone:608-437-3912
Mailing Address - Fax:608-437-3912
Practice Address - Street 1:3073 COUNTY ROAD F
Practice Address - Street 2:
Practice Address - City:BARNEVELD
Practice Address - State:WI
Practice Address - Zip Code:53507-9776
Practice Address - Country:US
Practice Address - Phone:608-437-3912
Practice Address - Fax:608-437-3912
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1694-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional