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1427158559
MICHAEL J SHANLEY
GREEN BAY, WI
NPI
1427158559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 1401)
Enumeration Date
2006-09-25
Last Update Date
2009-11-12
Business Address
-- MICHAEL J SHANLEY MSW
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311-5859
Phone number: 920-391-6940
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Mailing Address
-- MICHAEL J SHANLEY MSW
3150 GERSHWIN DRIVE
GREEN BAY, WI 54311-5859
Phone number: 920-391-6940
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