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Shannon Licano
NPI 1811018427 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4449 N 12th St
Phoenix, AZ 85014 - Phone
- (602) 279-1427
- Organisation at this address
- Human Services Consultants
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 75
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 235Z00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-09
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 Arizona