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Individual

MR. SHANNON JOHN COLWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
2909 LANDMARK PL STE 210, MADISON, WI 53713-4200
(855) 458-4966
(855) 458-4966
Mailing address
2590 GLADEVIEW RD, COTTAGE GROVE, WI 53527-9531
(920) 251-3333

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8390226
WI

Other

Enumeration date
05/19/2025
Last updated
05/19/2025
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