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Individual
SHANNON PAUL ROBINSON
Active
Individual
SHANNON PAUL ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC,LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2144-125
WI
1041C0700X
Clinical Social Worker
3283-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144-125
STATE LPC LICENSE #
WI
01
—
3283-123
STATE LCSW LICENSE #
WI
05
—
39670500
—
WI
01
—
39738
SECURITY HEALTH PLAN ID#
WI
Enumeration date
11/15/2006
Last updated
09/24/2008
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