SHANE SCOTT URBAN

APPLETON, WI
NPI1609269489
Professional NameSHANE SCOTT URBAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  127558-121)
Enumeration Date2015-03-18
Last Update Date2015-03-18
Business Address
-- SHANE SCOTT URBAN
444 N. WESTHILL BLVD.
APPLETON, WI 54914
Phone number: 920-750-7008
Mailing Address
-- SHANE SCOTT URBAN
316 W 15TH AVE
OSHKOSH, WI 54902-6516
Phone number: 920-573-4028
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