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Individual
SHELBY HARTZELL
Active
Individual
SHELBY HARTZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.103428
IL
1041C0700X
Clinical Social Worker
Primary
149.022156
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150.103428
LICENSED SOCIAL WORKER
IL
Enumeration date
11/20/2018
Last updated
04/06/2026
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