Individual
SHAMARA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9112 W LISBON AVE APT 25, MILWAUKEE, WI 53222-2743
(414) 430-7578
Mailing address
9112 W LISBON AVE APT 25, MILWAUKEE, WI 53222-2743
(414) 430-7578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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