SHANNON HARRIS

CENTRALIA, IL
NPI1588248694
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2021-05-06
Last Update Date2021-05-06
Business Address
SHANNON HARRIS
904 M L KING DR
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391
Mailing Address
SHANNON HARRIS
904 M L KING DR
CENTRALIA, IL 62801-3058
Phone number: 618-533-1391
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