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1194332718
SHANNON LEE WYMAN KENEVAN
GREEN BAY, WI
NPI
1194332718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 2674)
Enumeration Date
2020-09-28
Last Update Date
2020-09-28
Business Address
SHANNON LEE WYMAN KENEVAN
123 N OAKLAND AVE
GREEN BAY, WI 54303-2831
Phone number: 920-770-4088
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Mailing Address
SHANNON LEE WYMAN KENEVAN
123 N OAKLAND AVE
GREEN BAY, WI 54303-2831
Phone number: 920-770-4088
Copy
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