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1528303161
SHADON MICHELE ELLISON
CHICAGO, IL
NPI
1528303161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2012-12-08
Last Update Date
2013-03-02
Business Address
Ms. SHADON MICHELE ELLISON B.S.
4820 S KING DR APT. 1S
CHICAGO, IL 60615-1349
Phone number: 312-320-2844
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Mailing Address
Ms. SHADON MICHELE ELLISON B.S.
4820 S KING DR APT. 1S
CHICAGO, IL 60615-1349
Phone number: 312-320-2844
Copy
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