Individual
SHALIA DESHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 W 9TH ST, CHESTER, PA 19013-2040
(610) 497-7593
Mailing address
220 LAVEER ST, PHILADELPHIA, PA 19120-1413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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