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1962046615
SHANNON CARLSON
OSWEGO, IL
NPI
1962046615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178015299)
Enumeration Date
2019-11-05
Last Update Date
2019-11-05
Business Address
SHANNON CARLSON
2683 ROUTE 34
OSWEGO, IL 60543-8577
Phone number: 630-733-9108
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Mailing Address
SHANNON CARLSON
2683 ROUTE 34
OSWEGO, IL 60543-8577
Phone number: 630-733-9108
Copy
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