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1053043398
SHANNON M ANDERSON
GREEN BAY, WI
NPI
1053043398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2022-06-27
Last Update Date
2022-06-27
Business Address
SHANNON M ANDERSON
1499 6TH ST
GREEN BAY, WI 54304-2252
Phone number: 920-497-6161
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Mailing Address
SHANNON M ANDERSON
1499 6TH ST
GREEN BAY, WI 54304-2252
Phone number: 920-497-6161
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