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1225642762
SHANNON RISTEDT
FLOSSMOOR, IL
NPI
1225642762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-09-02
Last Update Date
2020-09-02
Business Address
SHANNON RISTEDT
19530 KEDZIE AVE
FLOSSMOOR, IL 60422-1778
Phone number: 708-799-2200
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Mailing Address
SHANNON RISTEDT
17746 OAK PARK AVE
TINLEY PARK, IL 60477-3936
Phone number: 708-444-1012
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