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1154911352
SHANNON D FENCEROY
WAUKESHA, WI
NPI
1154911352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 7924)
Enumeration Date
2021-01-21
Last Update Date
2021-01-21
Business Address
SHANNON D FENCEROY
514 RIVERVIEW AVE
WAUKESHA, WI 53188-3631
Phone number: 262-548-7212
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Mailing Address
SHANNON D FENCEROY
5306 W GOODRICH LN
MILWAUKEE, WI 53223-3646
Phone number: 414-839-7414
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