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Individual

DANIELLE SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1438 W BELMONT AVE STE 1, CHICAGO, IL 60657-2166
(312) 508-3645
Mailing address
262 E SAINT CHARLES RD APT GA, CAROL STREAM, IL 60188-2325

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/07/2020
Last updated
07/07/2020
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