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Individual
MS. SHARON ANN DECELLE
Active
Individual
MS. SHARON ANN DECELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.009488
IL
225100000X
Physical Therapist
Primary
070009964
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK PROV ID
—
01
—
202
BLUE CROSS PROV ID
IL
01
—
4117
HAMP PROVIDER ID
IL
01
—
7216
PERSONALCARE PROV ID
—
Enumeration date
04/18/2007
Last updated
03/18/2019
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