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1083996870
TONYA LYN SHAW
LAKE VILLA, IL
NPI
1083996870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 150.011040)
Enumeration Date
2011-09-16
Last Update Date
2011-09-16
Business Address
-- TONYA LYN SHAW LSW
121 E GRAND AVE
LAKE VILLA, IL 60046-7829
Phone number: 847-377-8386
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Mailing Address
-- TONYA LYN SHAW LSW
121 E. GRAND AVE.
LAKE VILLA, IL 60046
Phone number: 847-377-8386
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