MR. David W. Shane, L.C.S.W. (ILLINOIS)
NPI #1811130792 in Shenandoah, Iowa
Provider Information
- NPI Number
- 1811130792
- Entity Type
- Individual
- Name
- MR. David W. Shane, L.C.S.W. (ILLINOIS)
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- L.C.S.W. (ILLINOIS)
- Enumeration Date
- Apr 8, 2009
- Last Updated
- Apr 8, 2009
Practice Location
- Address
- 512 S FREMONT ST
- Address 2
- ORCHARD CORNERS 150-160
- City
- Shenandoah
- State
- Iowa
- ZIP Code
- 51601-1508
- Phone
- (712) 246-0092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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