| Mr David W Shane, LCSW (ILLINOIS) | |
|
512 S Fremont St, Orchard Corners 150-160, Shenandoah, IA 51601-1508 | |
| (712) 246-0092 | |
| Not Available |
| Full Name | Mr David W Shane |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 512 S Fremont St, Shenandoah, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811130792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.002871 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David W Shane, LCSW (ILLINOIS) 512 S Fremont St, Orchard Corners 150-160, Shenandoah, IA 51601-1508 Ph: (712) 246-0092 | Mr David W Shane, LCSW (ILLINOIS) 512 S Fremont St, Orchard Corners 150-160, Shenandoah, IA 51601-1508 Ph: (712) 246-0092 |
Mrs. Caitlin Alexis Crosby Clem, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Jack Foster Dr, Shenandoah, IA 51601 Phone: 712-246-7400 Fax: 712-246-7444 |