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1952549131
SHANNON L SMITH
MILWAUKEE, WI
NPI
1952549131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-01-27
Last Update Date
2009-01-27
Business Address
-- SHANNON L SMITH MS
6815 W CAPITOL DR
MILWAUKEE, WI 53216-2070
Phone number: 414-466-3204
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Mailing Address
-- SHANNON L SMITH MS
6815 W CAPITOL DR
MILWAUKEE, WI 53216-2070
Phone number: 414-466-3204
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