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1629176938
LISA SHAW
GREEN BAY, WI
NPI
1629176938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 7747-123)
Enumeration Date
2006-09-20
Last Update Date
2022-11-23
Business Address
LISA SHAW MSW, LCSW
1345 W MASON ST STE 102
GREEN BAY, WI 54303-2049
Phone number: 920-301-3546
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Mailing Address
LISA SHAW MSW, LCSW
1345 W MASON ST STE 102
GREEN BAY, WI 54303-2049
Phone number: 920-301-3546
Copy
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