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Individual
SHAKEERA WYNNE
Active
Individual
SHAKEERA WYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW026813
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024869940001
—
PA
Enumeration date
05/14/2018
Last updated
12/26/2025
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