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1790473676
SANDRA SHANNON
CHAMPAIGN, IL
NPI
1790473676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150.110584)
Enumeration Date
2023-04-27
Last Update Date
2023-04-27
Business Address
SANDRA SHANNON LSW
2125 S NEIL ST
CHAMPAIGN, IL 61820-7266
Phone number: 217-352-0200
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Mailing Address
SANDRA SHANNON LSW
2125 S NEIL ST
CHAMPAIGN, IL 61820-7266
Phone number: 217-352-0200
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