Individual
ELIZABETH SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5817 N ROSEWOOD DR, APT 2010, PEORIA, IL 61615-3319
(708) 363-0628
Mailing address
5817 N ROSEWOOD DR, APT 2010, PEORIA, IL 61615-3319
(708) 363-0628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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