SHANIA LYNN DVORAK

CHAMPAIGN, IL
NPI1871358259
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  150113226)
Enumeration Date2024-02-15
Last Update Date2024-02-15
Business Address
SHANIA LYNN DVORAK LSW
2302 MORELAND BLVD
CHAMPAIGN, IL 61822-1398
Phone number: 217-356-7576
Mailing Address
SHANIA LYNN DVORAK LSW
453 LANCASTER DR
PINGREE GROVE, IL 60140-9155
Phone number: