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Organization
SHARED INTENTIONS, LLC
Active
Organization
SHARED INTENTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL BRIGHID COGHLAN MS CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(708) 334-8411
Entity
Organization
Contact information
Practice address
2923 N MILWAUKEE AVE, UNIT 200, CHICAGO, IL 60618-7886
(708) 334-8411
Mailing address
2923 N MILWAUKEE AVE, UNIT 200, CHICAGO, IL 60618-7886
(708) 334-8411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011618
IL
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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