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1861155061
DIANE SHIN
LIBERTYVILLE, IL
NPI
1861155061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-10-15
Last Update Date
2021-10-15
Business Address
DIANE SHIN
1585 N MILWAUKEE AVE STE 109
LIBERTYVILLE, IL 60048-1359
Phone number: 224-707-4321
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Mailing Address
DIANE SHIN
160 MARION AVE
LAKE FOREST, IL 60045-2962
Phone number: 224-707-4321
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