Individual
MS. SHANNON B KIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5426
(215) 879-1000
(215) 879-3912
Mailing address
101 ACADIA DR, CINNAMINSON, NJ 08077-3136
(215) 879-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW126791
PA
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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