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1699544379
SHASHOMMINIQUE HORTON
HIGHLAND, IL
NPI
1699544379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2023-12-22
Last Update Date
2023-12-22
Business Address
SHASHOMMINIQUE HORTON DT
4501 HILL RD
HIGHLAND, IL 62249-3519
Phone number: 618-830-6562
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Mailing Address
SHASHOMMINIQUE HORTON DT
653 E 83RD ST
CHICAGO, IL 60619-5014
Phone number: 205-926-8332
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