Individual
MS. ADELE C BON-SHANNON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
701 W BROAD ST, SUITE 201, BETHLEHEM, PA 18018
(610) 866-2744
(610) 282-3795
Mailing address
701 W BROAD ST, SUITE 201, BETHLEHEM, PA 18018
(610) 866-2744
(610) 282-3795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW0012852
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01996901
CAPITAL BL CROSS
PA
01
—
2318645000
INDEP BL CROSS
PA
Enumeration date
06/20/2006
Last updated
07/08/2007
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