Idelle Butler Shane, MSW BCD LCSW
NPI #1275663114 in Galesburg, Illinois
Provider Information
- NPI Number
- 1275663114
- Entity Type
- Individual
- Name
- Idelle Butler Shane, MSW BCD LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- MSW BCD LCSW
- Enumeration Date
- Mar 7, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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