Individual
JUDITH SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCSW
Contact information
Practice address
2564 W 12TH ST, ERIE, PA 16505-4528
(814) 451-2282
Mailing address
2564 W. 12TH ST, ERIE, PA 16505-4528
(814) 451-2282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW134181
PA
1041C0700X
Clinical Social Worker
Primary
CW019856
PA
Other
Enumeration date
03/27/2017
Last updated
03/31/2021
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