Individual
MISS SHANNON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
12970 W BLUEMOUND RD, SUITE 200, ELM GROVE, WI 53122-2607
(262) 780-1020
(262) 780-1022
Mailing address
12970 W BLUEMOUND RD., SUITE 200, ELM GROVE, WI 53122-2531
(262) 780-1020
(262) 780-1022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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