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1366057242
SHELLY MARIE THEDER
JEFFERSON, WI
NPI
1366057242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
SHELLY MARIE THEDER
1541 ANNEX RD
JEFFERSON, WI 53549-9803
Phone number: 920-674-8700
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Mailing Address
SHELLY MARIE THEDER
1541 ANNEX RD
JEFFERSON, WI 53549-9803
Phone number: 920-674-8700
Copy
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