Individual
MS. SHACORA DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 WALNUT ST, SUITE NUMBER 200, PHILADELPHIA, PA 19107-4719
(215) 670-5956
(215) 546-1633
Mailing address
2200 BENJAMIN FRANKLIN PKWY, APT#E308, PHILADELPHIA, PA 19130-3601
(215) 670-9555
(215) 546-1633
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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