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1508432717
SHAYNA KELLY LANG
JEFFERSON, WI
NPI
1508432717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
SHAYNA KELLY LANG MSW
1541 ANNEX RD
JEFFERSON, WI 53549-9803
Phone number: 920-674-1133
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Mailing Address
SHAYNA KELLY LANG MSW
1541 ANNEX RD
JEFFERSON, WI 53549-9803
Phone number: 920-723-2763
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