Individual
SHAWN WILLIAM SPARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
4409 MAINE ST, QUINCY, IL 62305-5849
(217) 223-0413
(217) 223-0461
Mailing address
4409 MAINE ST, QUINCY, IL 62305-5849
(217) 223-0413
(217) 223-0461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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