Individual
SHANDA WEEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 FIRST AVE # 551, KING OF PRUSSIA, PA 19406-1334
(412) 538-8745
Mailing address
307 BLAKE CT, CORAOPOLIS, PA 15108-3009
(412) 538-8745
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC005097
PA
Other
Enumeration date
10/13/2009
Last updated
05/09/2024
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