SHONTAE L FISHER

LAKE VILLA, IL
NPI1609621796
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IL  00000000000)
Enumeration Date2024-04-22
Last Update Date2024-04-22
Business Address
SHONTAE L FISHER
313 BERKSHIRE DR
LAKE VILLA, IL 60046-5054
Phone number: 773-220-6268
Mailing Address
SHONTAE L FISHER
313 BERKSHIRE DR
LAKE VILLA, IL 60046-5054
Phone number: 773-220-6268
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