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1265133540
SHANNON SMITH
MUNDELEIN, IL
NPI
1265133540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149-010478)
Enumeration Date
2023-03-14
Last Update Date
2023-03-14
Business Address
SHANNON SMITH LCSW
2883 KESSLER DR
MUNDELEIN, IL 60060-5403
Phone number: 847-567-2184
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Mailing Address
SHANNON SMITH LCSW
2883 KESSLER DR
MUNDELEIN, IL 60060-5403
Phone number: 847-567-2184
Copy
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