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1134690993
KENNETH ROY SANN
GREEN BAY, WI
NPI
1134690993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2018-12-05
Last Update Date
2018-12-05
Business Address
KENNETH ROY SANN LCSW, CSAC, ICS
1061 W MASON ST
GREEN BAY, WI 54303-1858
Phone number: 920-437-8256
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Mailing Address
KENNETH ROY SANN LCSW, CSAC, ICS
1061 W MASON ST
GREEN BAY, WI 54303-1858
Phone number: 920-437-8256
Copy
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