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1396221669
EMMA SHACKLETON
ROCKFORD, IL
NPI
1396221669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 180.014466)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-07-19
Last Update Date
2023-05-01
Business Address
EMMA SHACKLETON LCPC
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107-6225
Phone number: 779-368-0060
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Mailing Address
EMMA SHACKLETON LCPC
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107-6225
Phone number:
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