SHANKAR PETERSON

CHICAGO, IL
NPI1801356852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2018027951)
Enumeration Date2019-03-24
Last Update Date2019-03-24
Business Address
Mr. SHANKAR PETERSON
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 708-674-6638
Mailing Address
Mr. SHANKAR PETERSON
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 708-674-6638
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