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1275259988
CORETTA SHANE
CHICAGO, IL
NPI
1275259988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
CORETTA SHANE MA QMHP
10 S RIVERSIDE PLZ STE 875
CHICAGO, IL 60606-3717
Phone number: 312-474-6189
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Mailing Address
CORETTA SHANE MA QMHP
10 S RIVERSIDE PLZ STE 875
CHICAGO, IL 60606-3717
Phone number: 312-474-6189
Copy
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