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1790457943
SHANNON E PIVONEY
DECATUR, IL
NPI
1790457943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IL 180013924)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
SHANNON E PIVONEY LCPC
270 W PRAIRIE AVE
DECATUR, IL 62523-1221
Phone number: 217-816-9071
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Mailing Address
SHANNON E PIVONEY LCPC
216 STUTELY LN
SPRINGFIELD, IL 62704-5234
Phone number: 217-816-9071
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