Individual
MRS. BONNIE MARIE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSED MSW LSW
Contact information
Practice address
4117 LIBERTY AVE, CANCER CARING CENTER, PITTSBURGH, PA 15206
(412) 622-1212
(412) 622-1216
Mailing address
1641 CHISLETT ST, PITTSBURGH, PA 15206
(412) 661-6441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW007171L
PA
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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