Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SHELTON LCSW (SUPERVISORY SOCIAL WORKER)
(618) 997-5311
Entity
Organization
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
149.010333
IL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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