Individual
SHANICE NICOLE AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 S MAPLE AVE, GREENSBURG, PA 15601-3216
(724) 834-0420
Mailing address
138 ELMUR DR APT 807, GREENSBURG, PA 15601-6172
(724) 374-8446
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW025698
PA
Other
Enumeration date
04/11/2022
Last updated
03/05/2026
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