EMMA SHACKLETON

ROCKFORD, IL
NPI1396221669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: IL  180.014466)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2018-07-19
Last Update Date2023-05-01
Business Address
EMMA SHACKLETON LCPC
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107-6225
Phone number: 779-368-0060
Mailing Address
EMMA SHACKLETON LCPC
695 N PERRYVILLE RD STE 4
ROCKFORD, IL 61107-6225
Phone number:
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