SHANAN PORTER

EAST HAZEL CREST, IL
NPI1528590478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-03-30
Last Update Date2017-03-30
Business Address
-- SHANAN PORTER
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429-1442
Phone number: 708-647-3518
Mailing Address
-- SHANAN PORTER
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429-1442
Phone number: 708-647-3518
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