SHAWN NOWOTNIK

ST CHARLES, IL
NPI1740947373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149023973)
Enumeration Date2021-11-18
Last Update Date2021-11-18
Business Address
SHAWN NOWOTNIK LCSW
100 ILLINOIS ST
ST CHARLES, IL 60174-1866
Phone number: 331-575-4858
Mailing Address
SHAWN NOWOTNIK LCSW
100 ILLINOIS ST STE 200
ST CHARLES, IL 60174-1867
Phone number: 331-575-4858
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