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1790188407
SHANNON BRYANT
MILWAUKEE, WI
NPI
1790188407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 129400-121)
Enumeration Date
2014-10-08
Last Update Date
2014-10-08
Business Address
-- SHANNON BRYANT APSW
9012 W LAWRENCE AVE
MILWAUKEE, WI 53225-5039
Phone number: 414-322-5136
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Mailing Address
-- SHANNON BRYANT APSW
9012 WEST LAWRENCE AVENUE
MILWAUKEE, WI 53225
Phone number: 414-322-5136
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