Individual
PAIGE C SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9368
Mailing address
206 W 5TH ST, METROPOLIS, IL 62960-1810
(618) 524-9368
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104100000X
—
IL
Enumeration date
10/09/2017
Last updated
06/16/2018
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