Individual
SHARDAE PENNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4610 E STREET RD, FEASTERVILLE TREVOSE, PA 19053-6612
(215) 364-3299
Mailing address
7327 BUTCHER ST, ELKINS PARK, PA 19027-3145
(267) 275-1616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW137300
PA
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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