| Shannon James Llc | |
|
5420 W State St Milwaukee WI 53208-2514 | |
| (414) 336-8639 | |
| (414) 930-2986 |
| Full Name | Shannon James Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5420 W State St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Shannon James (OWNER/THERAPISTE) |
| Authorized Official Contact | 4143368651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon James Llc 918 E North Ave Milwaukee WI 53212-3448 Ph: (414) 336-8651 | Shannon James Llc 5420 W State St Milwaukee WI 53208-2514 Ph: (414) 336-8639 |
| NPI Number | 1275182172 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275182172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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