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Individual

MRS. ANGELA TAYLOR SHIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
7 BLANCHARD CIR, SUITE 201, WHEATON, IL 60189-2039
(630) 653-2300
(630) 653-2895
Mailing address
7 BLANCHARD CIR, SUITE 201, WHEATON, IL 60189-2039
(630) 653-2300
(630) 653-2895

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180005724
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02215643
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/18/2006
Last updated
07/08/2008
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