Shannon Dolan

NPI #1003556135 in Peoria, Illinois

Provider Information

NPI Number
1003556135
Entity Type
Individual
Name
Shannon Dolan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Enumeration Date
Mar 29, 2022
Last Updated
Mar 29, 2022

Practice Location

Address
7717 N ORANGE PRAIRIE RD
City
Peoria
ZIP Code
61615-9323
Phone
(309) 589-6800

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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