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Individual

MRS. SHANNA L. BECKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
4221 EAST MAIN STREET, MORGANTOWN, PA 19543
(610) 858-5539
Mailing address
PO BOX 67, GOODVILLE, PA 17528-0067
(610) 858-5539

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/05/2008
Last updated
11/05/2008
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