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1598008781
SHANNON CASEY NELSON
CARBONDALE, IL
NPI
1598008781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149.014219)
Enumeration Date
2013-04-05
Last Update Date
2013-04-05
Business Address
Ms. SHANNON CASEY NELSON LCSW
802 S SKYLINE DR
CARBONDALE, IL 62901-2406
Phone number: 618-203-1647
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Mailing Address
Ms. SHANNON CASEY NELSON LCSW
802 S SKYLINE DR
CARBONDALE, IL 62901-2406
Phone number:
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