LESLIE K SHAN

LAWRENCEVILLE, IL
NPI1578018172
Former NameLESLIE K ALLARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-08-24
Last Update Date2016-08-24
Business Address
-- LESLIE K SHAN MS
11020 STATE ROUTE 250
LAWRENCEVILLE, IL 62439
Phone number: 618-943-3754
Mailing Address
-- LESLIE K SHAN MS
11020 STATE ROUTE 250 PO BOX 516
LAWRENCEVILLE, IL 62439
Phone number: 618-943-3754
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