Most Relevant Information
Provider Data
| NPI Number: | 1003303199 |
| Provider Name: | SHANA E RIVERA LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | SW133151 |
Most Important Dates
| Enumeration Date: | 04/16/2018 |
| Last Updated: | 04/16/2018 |
Provider Practice Location
2501 N 3RD ST
HARRISBURG
PA
171101904
Practice Location Phone/Fax
| Phone: | 7177824734 |
| Fax: | 7177824727 |
Provider Mailing Location
PO BOX 858
MC A410
HERSHEY
PA
170330858
Provider Mailing Phone/Fax
| Phone: | 8002431455 |
| Fax: |