Individual
AISHA A SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8946 S MARSHFIELD AVE, CHICAGO, IL 60620-4954
(773) 818-0900
Mailing address
8946 S MARSHFIELD AVE, CHICAGO, IL 60620-4954
(773) 818-0900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149019604
IL
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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