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1114416047
SHANTEL CROWNOVER
GREEN BAY, WI
NPI
1114416047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: WI 227)
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
SHANTEL CROWNOVER MS
1575 ALLOUEZ AVE
GREEN BAY, WI 54311-5639
Phone number: 920-857-9041
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Mailing Address
SHANTEL CROWNOVER MS
1575 ALLOUEZ AVE
GREEN BAY, WI 54311-5639
Phone number: 920-857-9041
Copy
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