MRS. LYDA SHAMBLIN, LCSW

Social Worker - Clinical

Active Individual
NPI: 1932111994

Practice Address

410 S SMALL AVE
Kankakee, IL 60901

Phone: (815) 932-4700

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 149001896 (IL)

Frequently Asked Questions

NPI 1932111994 is the National Provider Identifier for MRS. LYDA SHAMBLIN, LCSW, a Social Worker - Clinical provider located in Kankakee, IL. This NPI was enumerated on August 11, 2006.
MRS. LYDA SHAMBLIN, LCSW practices at 410 S SMALL AVE, Kankakee, IL 60901.

Quick Facts

NPI
1932111994
Type
Individual
Enumerated
Aug 11, 2006
Last Updated
Jul 8, 2007

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