SHANNON BRODALA

PEORIA, AZ
NPI1154339109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  1457349037)
Enumeration Date2006-08-04
Last Update Date2007-07-08
Business Address
-- SHANNON BRODALA
8253 W THUNDERBIRD RD #103
PEORIA, AZ 85381-4616
Phone number: 623-826-0932
Mailing Address
-- SHANNON BRODALA
8253 W THUNDERBIRD RD #103
PEORIA, AZ 85381-4616
Phone number:
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