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1356529754
SHAY LYNN SWAN
VIENNA, IL
NPI
1356529754
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Former Name
SHAY FARNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2008-02-07
Last Update Date
2015-07-17
Business Address
-- SHAY LYNN SWAN MS QMHP
408 E VINE ST
VIENNA, IL 62995-1612
Phone number: 618-658-2611
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Mailing Address
-- SHAY LYNN SWAN MS QMHP
9230 MANEESE LN
GOREVILLE, IL 62939-3612
Phone number: 618-713-2256
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