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1245956424
SHAQUAN L JEFFERSON
BROWN DEER, WI
NPI
1245956424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 5428-226)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
SHAQUAN L JEFFERSON
5600 W BROWN DEER RD
BROWN DEER, WI 53223-2311
Phone number: 414-446-8154
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Mailing Address
SHAQUAN L JEFFERSON
5600 W BROWN DEER RD
BROWN DEER, WI 53223-2311
Phone number: 414-446-8154
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