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1417079104
SHANNON CLARK
PALOS HEIGHTS, IL
NPI
1417079104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Mrs. SHANNON CLARK B.S
7440 W COLLEGE DR SUITE 200
PALOS HEIGHTS, IL 60463-1375
Phone number: 708-448-7423
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Mailing Address
Mrs. SHANNON CLARK B.S
25225 SHANNON DR
MANHATTAN, IL 60442-6203
Phone number: 708-448-7423
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