Individual
SHELBY LINN PETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
223 W BROAD ST, HAZLETON, PA 18201-6201
(570) 455-9902
(570) 455-9452
Mailing address
538 CHARLES AVE, KINGSTON, PA 18704-4712
(570) 764-8755
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW139593
PA
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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