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1265131189
SHANNON COLLEEN SHELBY
LYNWOOD, IL
NPI
1265131189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2023-02-28
Last Update Date
2023-02-28
Business Address
SHANNON COLLEEN SHELBY
20100 ARROYO AVE
LYNWOOD, IL 60411-1563
Phone number: 773-491-9982
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Mailing Address
SHANNON COLLEEN SHELBY
20100 ARROYO AVE
LYNWOOD, IL 60411-1563
Phone number: 773-491-9982
Copy
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