person
Idelle Butler Shane, MSWBCDLCSW
Specialist in Galesburg, Illinois
NPI 1275663114

Idelle Butler Shane is a Specialist based in Galesburg, IL. Idelle Butler Shane practices in Galesburg, IL and has the professional credentials of MSWBCDLCSW. The NPI Number for Idelle Butler Shane is 1275663114 and holds a License No. (Illinois).

The current practice location address for Idelle Butler Shane is 311 E Main St Ste 604, Galesburg, IL and can be reached out via phone at 309-341-2727.

Location: 311 E Main St Ste 604, Galesburg, IL, 61401-4855
person
Provider Profile Details
NPI Number
1275663114
Provider Name
Idelle Butler Shane
Credential
MSWBCDLCSW
Provider Entity Type
Individual
Gender
Female
Address
311 E Main St Ste 604, Galesburg, IL, 61401-4855
Phone Number
309-341-2727
Fax Number
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002425 01 IL BOARD CERT DIPLOMATE
institution
Provider Business Practice Location Address Details
Address
311 E Main St Ste 604
City
State
Zip
61401-4882
Phone Number
309-341-2727
Fax Number
person
Provider Business Mailing Address Details
Address
311 E Main St Ste 604
City
State
Zip
61401-4882
Phone Number
309-341-2727
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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