Individual
MRS. ROXANE JANETTE SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
9 N 4TH AVE, MARSHALLTOWN, IA 50158-1836
(641) 752-1585
(641) 752-9665
Mailing address
9 N 4TH AVE, MARSHALLTOWN, IA 50158-1836
(641) 752-1585
(641) 752-9665
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00937
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058230
—
IA
01
—
037100
HEALTH ALLIANCE
IA
01
—
05823
BCBS
IA
01
—
234831
MIDLANDS CHOICE
IA
01
—
321119
VALUE OPTIONS
IA
01
—
P08519
JOHN DEERE/UBH
IA
Enumeration date
05/16/2006
Last updated
10/10/2007
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