Search › Pennsylvania › 104100000X
Anita Shade, LSW
NPI 1679311534 · on the registry since 2024 · sole proprietor
Practice
- Address
- 602 1st St
Du Bois, PA 15801 - Phone
- (570) 404-0010
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania