Individual
HAROLD SHINES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
3231 N GREEN RIVER RD, EVANSVILLE, IN 47715-1379
(812) 479-1856
Mailing address
826 OAK ST, FRANKLIN, KY 42134-1059
(812) 725-1997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
99081998A
IN
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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