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1902431935
SHANNON EMMANUEL JOHNSON
MILWAUKEE, WI
NPI
1902431935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 130697-121)
Enumeration Date
2020-03-10
Last Update Date
2020-03-10
Business Address
Mr. SHANNON EMMANUEL JOHNSON Psychotherapist
4001 W CAPITOL DR
MILWAUKEE, WI 53216-2530
Phone number: 414-455-3879
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Mailing Address
Mr. SHANNON EMMANUEL JOHNSON Psychotherapist
4001 W CAPITOL DR
MILWAUKEE, WI 53216-2530
Phone number: 414-455-3879
Copy
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