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1154635712
SHAWN DAUGHERTY
NORTHFIELD, IL
NPI
1154635712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071006371)
Enumeration Date
2010-08-05
Last Update Date
2010-08-05
Business Address
Dr. SHAWN DAUGHERTY Psy.D.
456 CENTRAL AVENUE 201
NORTHFIELD, IL 60093
Phone number: 773-852-9869
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Mailing Address
Dr. SHAWN DAUGHERTY Psy.D.
1750 W JULIAN ST #4
CHICAGO, IL 60622-2110
Phone number: 773-852-9869
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