Dale Robert Shank LCSW

NPI 1154627164 - Social Worker - 1041C0700X

NPI Details
NPI 1154627164
Gender Male
Enumeration Date 02/09/2011
Last Updated 04/27/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
CAMP POINT IL, 62320-1009, US
Phone (217) 577-8035
Fax (217) 509-2126
Business Location
PO BOX 406
CAMP POINT IL, 62320-0406, US
Phone (217) 577-8035
Fax (217) 509-2126
Taxonomy Code 1041C0700X
License State New Mexico
License Number C-08922
Remove 1154627164 NPI Number

According to our database, Dr. Dale Robert Shank LCSW NPI is 1154627164, taxonomy code is 1041C0700X and license number is C-08922, license state is located at New Mexico. Dale Robert Shank LCSW physically located at 347 N Main St, Camp Point IL, 62320-1009. NPI Number Dale Robert Shank LCSW has the Individual type.

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1154627164 NPI number is provided on an as is basis without warranty of any kind. 1154627164 is maintained by the National Plan & Provider Enumeration System. The contents of Dale Robert Shank LCSW are for informational purposes only.