Individual
DR. SHIRLEY JEAN WAITES-HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MSS, LSW
Contact information
Practice address
7306-08 OGONTZ AVE, PHILADELPHIA, PA 19138-1306
(215) 292-2290
Mailing address
1508 HARDING BLVD, NORRISTOWN, PA 19401-2932
(121) 529-2229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW-005967-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW-005967-E
—
PA
Enumeration date
04/20/2022
Last updated
04/20/2022
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