Individual
SHEA-ANN REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 BRIDGE ST, PHILADELPHIA, PA 19124-1824
(267) 225-7180
Mailing address
1059 BRIDGE ST, PHILADELPHIA, PA 19124-1824
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH006935
PA
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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