Individual
MCKENNA SHAE CASSADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
320 BELLA LUNA TER, STROUDSBURG, PA 18360-7232
(570) 977-0654
Mailing address
320 BELLA LUNA TER, STROUDSBURG, PA 18360-7232
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-313155
PA
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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