SHANNA DENISE EZELL

METROPOLIS, IL
NPI1255672564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-03-12
Last Update Date2013-03-12
Business Address
-- SHANNA DENISE EZELL MHP
206 W 5TH ST APT. D
METROPOLIS, IL 62960-1810
Phone number: 618-524-9368
Mailing Address
-- SHANNA DENISE EZELL MHP
306 W 8TH ST APT D
METROPOLIS, IL 62960-1656
Phone number: 618-524-3653
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