LA SHAWN RAYNARD STALLWORTH

AURORA, IL
NPI1770340085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2024-03-04
Last Update Date2024-03-04
Business Address
LA SHAWN RAYNARD STALLWORTH
1630 PLUM ST
AURORA, IL 60506-3462
Phone number: 630-966-4475
Mailing Address
LA SHAWN RAYNARD STALLWORTH
1630 PLUM ST
AURORA, IL 60506-3462
Phone number: 630-966-4475
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