Individual
MRS. SHAMAR MARIE DAVID-FETHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1235 PINE ST, PHILADELPHIA, PA 19107-5945
(215) 735-7068
Mailing address
5228 WESTFORD RD, PHILADELPHIA, PA 19120-3619
(215) 455-3730
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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