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1760688469
SHANNON M NILEST
LOUISVILLE, KY
NPI
1760688469
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Former Name
SHANNON M MAHONEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: KY 114308)
Enumeration Date
2007-06-21
Last Update Date
2016-06-06
Business Address
Mrs. SHANNON M NILEST M.Ed., LPP
4710 CHAMPIONS TRACE LN SUITE 107
LOUISVILLE, KY 40218-3495
Phone number: 502-454-6353
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Mailing Address
Mrs. SHANNON M NILEST M.Ed., LPP
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number: 502-589-8600
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