Individual
ALEXANDRIA CERISE SHADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
935 E CHOCOLATE AVE, HERSHEY, PA 17033-1216
(717) 462-7003
Mailing address
935 E CHOCOLATE AVE, HERSHEY, PA 17033-1216
(717) 903-2242
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW138598
PA
1041C0700X
Clinical Social Worker
Primary
CW025409
PA
Other
Enumeration date
12/03/2021
Last updated
04/30/2026
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