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BRODY FANSHAW, MS, LPC

MS, LPC

Mental Health Counselor

NPI: 1689390981Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

7151-226(WI)

Contact & Hours

Address
121 S BRISTOL ST STE 102
SUN PRAIRIE, WI 53590

Quick Facts

NPI
1689390981
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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