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Individual

SHANA MARIE TIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5151 W SILVER SPRING DR, MILWAUKEE, WI 53218-3300
(414) 527-6970
(414) 527-6971
Mailing address
5151 W SILVER SPRING DR, MILWAUKEE, WI 53218-3300
(414) 527-6970
(414) 527-6971

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/22/2016
Last updated
07/22/2016
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