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Mrs. Shannon Lynn Stallworth, LMT,NCTMB
Specialist in Mattoon, Illinois
NPI 1013190297

Shannon Lynn Stallworth is a Specialist based in Mattoon, IL. Shannon Lynn Stallworth practices in Mattoon, IL and has the professional credentials of LMT,NCTMB. The NPI Number for Shannon Lynn Stallworth is 1013190297 and holds a License No. (Illinois).

The current practice location address for Shannon Lynn Stallworth is 921 Lake Land Blvd, Mattoon, IL and can be reached out via phone at 217-235-3100. You can also correspond with Shannon Lynn Stallworth through the mailing address at 921 LAKE LAND BLVD, MATTOON, IL - 61938-5521 (mailing address contact number: 217-235-3100).

Location: 921 Lake Land Blvd, Mattoon, IL, 61938-5521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013190297
Provider Name
Shannon Lynn Stallworth
Credential
LMT,NCTMB
Provider Entity Type
Individual
Gender
Female
Address
921 Lake Land Blvd, Mattoon, IL, 61938-5521
Phone Number
217-235-3100
Fax Number
Provider Enumeration Date
12/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
921 Lake Land Blvd
City
Mattoon
State
Illinois
Zip
61938-5521
Phone Number
217-235-3100
Fax Number
person
Provider Business Mailing Address Details
Address
921 Lake Land Blvd
City
Mattoon
State
Illinois
Zip
61938-5521
Phone Number
217-235-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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