Individual
SHANIE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 VINE AVE, WILLIAMSPORT, PA 17701-5815
(772) 812-8370
Mailing address
908 VINE AVE, WILLIAMSPORT, PA 17701-5815
(772) 812-8370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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