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1720019763
TERRY SHORT
MILWAUKEE, WI
NPI
1720019763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 3859-123)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
Mr. TERRY SHORT msw
5000 W NATIONAL AVE
MILWAUKEE, WI 53295-0001
Phone number: 414-384-2000
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Mailing Address
Mr. TERRY SHORT msw
3419 N 55TH ST
MILWAUKEE, WI 53216-2807
Phone number: 414-384-2000
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