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1740052976
SHAUN E WILKINSON
SPRINGFIELD, IL
NPI
1740052976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 149.025576)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
SHAUN E WILKINSON
2037 E HOOD ST
SPRINGFIELD, IL 62703-4848
Phone number: 217-685-8432
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Mailing Address
SHAUN E WILKINSON
2037 E HOOD ST
SPRINGFIELD, IL 62703-4848
Phone number: 217-685-8432
Copy
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