SHOCKIE M DERSNO

PHOENIX, AZ
NPI1154961464
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LPC-18672)
Enumeration Date2020-01-14
Last Update Date2020-01-28
Business Address
SHOCKIE M DERSNO LPC
1840 N 95TH AVE STE 146
PHOENIX, AZ 85037-4446
Phone number: 404-953-2501
Mailing Address
SHOCKIE M DERSNO LPC
1840 N 95TH AVE STE 146
PHOENIX, AZ 85037-4446
Phone number: 623-234-9828
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