Individual
SHANNON WILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5351C JAYCEE AVE, SUITE 1, HARRISBURG, PA 17112-2997
(717) 657-2080
Mailing address
625 W ELM AVE, HANOVER, PA 17331-5125
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW134006
PA
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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