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1881790368
CAROLYN R SHORT
WAUKESHA, WI
NPI
1881790368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WI 702-123)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
Ms. CAROLYN R SHORT
741 N GRAND AVE SUITE 302
WAUKESHA, WI 53186-4820
Phone number: 262-542-3255
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Mailing Address
Ms. CAROLYN R SHORT
S57W25446 LOIS LN
WAUKESHA, WI 53189-9605
Phone number: 262-542-4842
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