Search › Illinois › 1041C0700X
Shanelle Koroma, LPHA, LCSW
NPI 1497246896 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2103 Pond St Unit B
Urbana, IL 61801 - Phone
- (708) 314-3291
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois