Individual
GENNA NICOLE SHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E PARK AVE, NILES, OH 44446-2352
(330) 544-8005
(330) 544-9379
Mailing address
41 HEWITT RD, WEST MIDDLESEX, PA 16159-2819
(724) 877-3316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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