Individual
MR. JOSEPH NORMAN SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-CP/S, LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
688
SC
106H00000X
Marriage & Family Therapist
58
SC
Other
Enumeration date
05/05/2006
Last updated
08/02/2011
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