Individual
SHAWNA MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 N ALLYN ST, CARBONDALE, IL 62901-1301
(606) 207-9218
Mailing address
521 N ALLYN ST, CARBONDALE, IL 62901-1301
(606) 207-9218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB277181
IL
Other
Enumeration date
04/16/2017
Last updated
04/16/2017
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