Individual
SHAAKIRA GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.SS
Contact information
Practice address
1700 MARKET ST STE 1010, PHILADELPHIA, PA 19103-3913
(215) 475-5638
Mailing address
1700 MARKET ST STE 1010, PHILADELPHIA, PA 19103-3913
(215) 475-5638
(215) 791-6563
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC06658400
NJ
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
CW021870
PA
Other
Enumeration date
08/31/2016
Last updated
07/23/2026
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