Individual
MADISON SHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS NCC
Contact information
Practice address
401 S 2ND ST, PHILADELPHIA, PA 19147-1612
(724) 714-7885
Mailing address
401 S 2ND ST STE 301, PHILADELPHIA, PA 19147-1612
(724) 714-7885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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