Search › Illinois › 174400000X
Shannon Stallworth, L.M.T,NCTMB
NPI 1013190297 · on the registry since 2007 · sole proprietor
Practice
- Address
- 921 Lake Land Blvd
Mattoon, IL 61938 - Phone
- (217) 235-3100
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-12-11
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