Erin Shannon LCSW

NPI 1225320823 - Social Worker - 1041C0700X

NPI Details
NPI 1225320823
Gender Female
Enumeration Date 05/14/2011
Last Updated 05/14/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
302 N EDGEWOOD AVE
LA GRANGE PARK IL, 60526-5506, US
Phone (708) 941-8254
Fax
Business Location
302 N EDGEWOOD AVE
LA GRANGE PARK IL, 60526-5506, US
Phone (708) 941-8254
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149-014487
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According to our database, Erin Shannon LCSW NPI is 1225320823, taxonomy code is 1041C0700X and license number is 149-014487, license state is located at Illinois. Erin Shannon LCSW physically located at 302 N Edgewood Ave, La Grange Park IL, 60526-5506. NPI Number Erin Shannon LCSW has the Individual type.

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1225320823 NPI number is provided on an as is basis without warranty of any kind. 1225320823 is maintained by the National Plan & Provider Enumeration System. The contents of Erin Shannon LCSW are for informational purposes only.