Individual
ERIN SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
302 N EDGEWOOD AVE, LA GRANGE PARK, IL 60526-5506
(708) 941-8254
Mailing address
302 N EDGEWOOD AVE, LA GRANGE PARK, IL 60526-5506
(708) 941-8254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-014487
IL
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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