Individual
SHANNON ELIZABETH BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
1601 WALNUT ST, PHILADELPHIA, PA 19102-2944
(484) 238-0233
Mailing address
1707 CHRISTIAN ST APT 2, PHILADELPHIA, PA 19146-1907
(484) 238-0233
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMF000123
PA
Other
Enumeration date
02/25/2026
Last updated
02/26/2026
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