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Individual

MRS. ALICE JEAN SHONK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
1530 LINCOLN AVE, CHARLESTON, IL 61920-3057
(217) 348-0127
(217) 345-2968
Mailing address
1530 LINCOLN AVE, CHARLESTON, IL 61920-3057
(217) 348-0127
(217) 345-2968

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
02/24/2011
Last updated
02/24/2011
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