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1316572688
SHYRIDA DANESS LANE
MILWAUKEE, WI
NPI
1316572688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 19075-130)
Enumeration Date
2020-03-07
Last Update Date
2020-03-07
Business Address
SHYRIDA DANESS LANE
1730 W NORTH AVE
MILWAUKEE, WI 53205-1254
Phone number: 414-906-2714
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Mailing Address
SHYRIDA DANESS LANE
9381 N 49TH ST APT 102
MILWAUKEE, WI 53223-6429
Phone number: 414-499-4220
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