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Organization
SHANNON MANNIX SERVICES INC
Active
Organization
SHANNON MANNIX SERVICES INC
Active
Other names
Shannon Mannix Service Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON M MANNIX MSW, LCSW, TYPE 73 (OWNER LICENCED SOCIAL WORKER)
(708) 557-5078
Entity
Organization
Contact information
Practice address
15915 S CRYSTAL CREEK DR STE E, HOMER GLEN, IL 60491-9381
(708) 557-5078
Mailing address
17626 S GILBERT DR, LOCKPORT, IL 60441-1100
(708) 557-5078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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