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Individual

MRS. NANCY A SHIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
107 DIVISION ST, PLYMOUTH, WI 53073-1801
(920) 892-7788
(920) 893-5459
Mailing address
8026 S 85TH ST, FRANKLIN, WI 53132-8571
(414) 425-4884
(414) 525-2798

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
962-132
WI

Other

Enumeration date
04/23/2007
Last updated
07/08/2007
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