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Individual

DIANE SHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1585 N MILWAUKEE AVE STE 109, LIBERTYVILLE, IL 60048-1359
(224) 707-4321
Mailing address
160 MARION AVE, LAKE FOREST, IL 60045-2962
(224) 707-4321

Taxonomy

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

Other

Enumeration date
10/15/2021
Last updated
10/15/2021
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