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1144951724
KATENNIA LESHONN THOMAS
PHOENIX, AZ
NPI
1144951724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC-20113)
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
KATENNIA LESHONN THOMAS LAC
2102 W BETHANY HOME RD
PHOENIX, AZ 85015-1935
Phone number: 602-774-4745
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Mailing Address
KATENNIA LESHONN THOMAS LAC
PO BOX 41623
PHOENIX, AZ 85080-1623
Phone number: 602-733-8226
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