Individual
BREANA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
821 GUENTHER AVE, YEADON, PA 19050-3506
(267) 262-3329
Mailing address
821 GUENTHER AVE, YEADON, PA 19050-3506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW024550
PA
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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