Individual
SHANIECE KENISHA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(302) 668-4371
Mailing address
5168 HILLTOP CIR, EAST STROUDSBURG, PA 18301-9371
(302) 668-4371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW140119
PA
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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