Individual
SHELBY HOMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
816 W DOUGLAS AVE, 1/2, JACKSONVILLE, IL 62650
(217) 617-6966
Mailing address
816 W DOUGLAS AVE, 1/2, JACKSONVILLE, IL 62650
(217) 617-6966
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
2578188
IL
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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