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1871358259
SHANIA LYNN DVORAK
CHAMPAIGN, IL
NPI
1871358259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL 150113226)
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
SHANIA LYNN DVORAK LSW
2302 MORELAND BLVD
CHAMPAIGN, IL 61822-1398
Phone number: 217-356-7576
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Mailing Address
SHANIA LYNN DVORAK LSW
453 LANCASTER DR
PINGREE GROVE, IL 60140-9155
Phone number:
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