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Individual

DORIS ANNE SHENK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
790 NEW HOLLAND AVE, LANCASTER, PA 17602-2137
(717) 390-0353
Mailing address
PO BOX 527, MOUNTVILLE, PA 17554-0527
(717) 285-7121

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126331
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SW126331
LSW
PA
Enumeration date
01/18/2018
Last updated
01/18/2018
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