Individual
SHAUNA ELLY OPPENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N 18TH ST, PHILADELPHIA, PA 19121-3232
(267) 571-9177
Mailing address
1600 N 18TH ST, PHILADELPHIA, PA 19121-3232
(267) 571-9177
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW138509
PA
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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