Individual
MS. SHELL MARIE PFEIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-4097
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-4097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149-002290
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149-002290
DEPARTMENT OF PROFESSIONAL LICENSE AND REGULATION
IL
Enumeration date
09/09/2009
Last updated
03/11/2025
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