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Individual
MARY SAVANNAH SUNVOLD SHIELDS
Active
Individual
MARY SAVANNAH SUNVOLD SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP, CLC
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.015471
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14315119
ASHA
—
01
—
146.015471
IDFPR
IL
01
—
MS06130619P
EI
IL
Enumeration date
05/30/2019
Last updated
09/05/2025
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