Most Relevant Information
Provider Data
| NPI Number: | 1003052754 |
| Provider Name: | SHANNON CHRISTINE LEBAK MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CW016986 |
Most Important Dates
| Enumeration Date: | 12/31/2008 |
| Last Updated: | 06/09/2017 |
Provider Practice Location
176 VIRGINIA AVE
ROCHESTER
PA
150741723
Practice Location Phone/Fax
| Phone: | 7247709095 |
| Fax: | 7247709096 |
Provider Mailing Location
100 SHENANGO AVE
SHARON
PA
161461503
Provider Mailing Phone/Fax
| Phone: | 7247709095 |
| Fax: | 7247709096 |