Shook, Jennifer D.
Shook, Jennifer D. is an individual health care provider with primary practice located at 111 South 20Th Kids Hope United, Mount Vernon IL 62864. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shook, Jennifer D. can be contacted via phone (618) 204-1986.Contact Information
Primary practice address
111 South 20Th Kids Hope United
Mount Vernon IL 62864
Phone: (618) 204-1986
Fax: (618) 242-1150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-011235 | Illinois |
Profile Details
| NPI number | 1174697700 |
|---|---|
| LBN Legal business name | Shook, Jennifer D. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Sep 21st, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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