CORETTA SHANE

CHICAGO, IL
NPI1275259988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2022-10-13
Last Update Date2022-10-13
Business Address
CORETTA SHANE MA QMHP
10 S RIVERSIDE PLZ STE 875
CHICAGO, IL 60606-3717
Phone number: 312-474-6189
Mailing Address
CORETTA SHANE MA QMHP
10 S RIVERSIDE PLZ STE 875
CHICAGO, IL 60606-3717
Phone number: 312-474-6189
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