Individual
DIANE MANDEL SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 WEBSTER AVE, WYNCOTE, PA 19095-1527
(215) 350-2212
Mailing address
120 WEBSTER AVE, WYNCOTE, PA 19095-1527
(215) 350-2212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016890
PA
Other
Enumeration date
08/20/2011
Last updated
07/28/2021
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