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Individual
MRS. ROBIN SIEBURG SHULTZ
Active
Individual
MRS. ROBIN SIEBURG SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,LMFT,CADC,CTRS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17694
IL
1041C0700X
Clinical Social Worker
149-011-011
IL
1041S0200X
School Social Worker
2006303
IL
106H00000X
Marriage & Family Therapist
Primary
166.000989
IL
225800000X
Recreation Therapist
22274
IL
Other
Enumeration date
12/06/2006
Last updated
05/24/2015
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