Individual
SHAAKIRA GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.SS
Contact information
Practice address
2514 N. BROAD ST, PHILADELPHIA, PA 19132
(215) 456-2685
Mailing address
8319 LYNNEWOOD RD, PHILADELPHIA, PA 19150-3202
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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