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1205375078
KATIE SHANK
JOLIET, IL
NPI
1205375078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242.004330)
Enumeration Date
2017-02-14
Last Update Date
2017-02-14
Business Address
-- KATIE SHANK M.H.S.
212 BARNEY DR
JOLIET, IL 60435-5271
Phone number: 815-725-2194
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Mailing Address
-- KATIE SHANK M.H.S.
2185 E CLARK ST
DIAMOND, IL 60416-6022
Phone number: 815-207-1751
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