Individual
DANA LYNNE SHUKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
805 N JUDSON ST, PHILADELPHIA, PA 19130-1921
(215) 429-5225
Mailing address
805 N JUDSON ST, PHILADELPHIA, PA 19130-1921
(215) 429-5225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW019423
PA
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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