Individual
MS. ANDREA M SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
701 N. ENGLEWOOD DRIVE, CRAWFORDSVILLE, IN 47933
(765) 361-9767
(765) 361-0374
Mailing address
110 N FRENCH ST, SULLIVAN, IN 47882-1424
(812) 268-4805
(812) 242-2210
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003254A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343921
ANTHEM BCBS PROVIDER PIN
IN
Enumeration date
06/06/2006
Last updated
07/20/2007
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