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Search › Illinois › 174400000X

Idelle Shane, MSW BCD LCSW

NPI 1275663114 · on the registry since 2007 · sole proprietor

Practice

Address
311 E Main St Ste 604
Galesburg, IL 61401
Phone
(309) 341-2727
Organisation at this address
Src, Lp
Cssgaca, Llc
The Consultant
The Consultant
The Consultants
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

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
2007-07-08

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