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1003214685
SHANTREASE BENSON
MILWAUKEE, WI
NPI
1003214685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-12-12
Last Update Date
2014-12-12
Business Address
Mrs. SHANTREASE BENSON
2677 N 40TH ST
MILWAUKEE, WI 53210-2505
Phone number: 414-447-1965
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Mailing Address
Mrs. SHANTREASE BENSON
2677 N 40TH ST PO BOX 100268
MILWAUKEE, WI 53210-2505
Phone number: 414-447-1965
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