Individual
AMY SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW/LSW, MPA
Contact information
Practice address
1 W MAIN ST, FLEETWOOD, PA 19522-1323
(610) 944-0445
(610) 944-8834
Mailing address
1715 PINEWIND DR, ALBURTIS, PA 18011-2707
(610) 509-9162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SW133802
PA
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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