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1639930589
SHANNON LEE GRAHAM
MIDDLETON, WI
NPI
1639930589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 128442-121)
Enumeration Date
2024-01-18
Last Update Date
2024-01-18
Business Address
SHANNON LEE GRAHAM MSW, APSW
6716 STONE GLEN DR
MIDDLETON, WI 53562-3876
Phone number: 608-827-7100
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Mailing Address
SHANNON LEE GRAHAM MSW, APSW
6716 STONE GLEN DR
MIDDLETON, WI 53562-3876
Phone number: 920-904-1213
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