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1750793998
SARAH SHOCKLEY
FOND DU LAC, WI
NPI
1750793998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-05-22
Last Update Date
2020-04-13
Business Address
SARAH SHOCKLEY
459 E 1ST ST
FOND DU LAC, WI 54935-4505
Phone number: 920-929-3500
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Mailing Address
SARAH SHOCKLEY
459 E 1ST ST
FOND DU LAC, WI 54935-4505
Phone number: 920-929-3500
Copy
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