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1225789050
SHANNON FOGARTY
CHICAGO, IL
NPI
1225789050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2022-01-13
Last Update Date
2022-01-13
Business Address
SHANNON FOGARTY
5516 N OLCOTT AVE
CHICAGO, IL 60656-1749
Phone number: 773-339-0183
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Mailing Address
SHANNON FOGARTY
5516 N OLCOTT AVE
CHICAGO, IL 60656-1749
Phone number:
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