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Individual
SHANA K FUNK
Active
Individual
SHANA K FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW 6709
KS
1041C0700X
Clinical Social Worker
Primary
34008573A
IN
Other
Enumeration date
12/07/2007
Last updated
04/13/2023
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