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Individual

SHANNA MARIE KURTH

Active
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Individual

SHANNA MARIE KURTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071004929
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007226636
BCBS OF IL
IL
Enumeration date
08/20/2006
Last updated
05/20/2013
Update your record

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