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1134730245
EVENING SHINEROCK
PHILADELPHIA, PA
NPI
1134730245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW020505)
Enumeration Date
2020-08-12
Last Update Date
2023-08-25
Business Address
EVENING SHINEROCK
701 S 50TH ST FL 3
PHILADELPHIA, PA 19143-1689
Phone number: 347-470-9084
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Mailing Address
EVENING SHINEROCK
701 S 50TH ST FL 3
PHILADELPHIA, PA 19143-1689
Phone number:
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