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1629600820
SHANNON ERICSON
PHILADELPHIA, PA
NPI
1629600820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW020926)
Enumeration Date
2020-02-06
Last Update Date
2020-02-06
Business Address
SHANNON ERICSON LCSW
811 N HANCOCK ST
PHILADELPHIA, PA 19123-3014
Phone number: 908-763-7562
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Mailing Address
SHANNON ERICSON LCSW
811 N HANCOCK ST
PHILADELPHIA, PA 19123-3014
Phone number: 908-763-7562
Copy
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