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1942689435
SHANTA KANUKOLLU
OAK LAWN, IL
NPI
1942689435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.008400)
Enumeration Date
2015-05-29
Last Update Date
2015-05-29
Business Address
Dr. SHANTA KANUKOLLU Ph.D.
10201 S CICERO AVE
OAK LAWN, IL 60453-4098
Phone number: 847-377-4496
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Mailing Address
Dr. SHANTA KANUKOLLU Ph.D.
10201 S CICERO AVE
OAK LAWN, IL 60453-4098
Phone number: 847-377-4496
Copy
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