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1710509609
GRACE MCKONE SHIVKA
CHANDLER, AZ
NPI
1710509609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ LPC-18192)
Enumeration Date
2020-05-13
Last Update Date
2020-05-13
Business Address
GRACE MCKONE SHIVKA
3042 W QUEEN CREEK RD
CHANDLER, AZ 85248-2815
Phone number: 602-528-1200
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Mailing Address
GRACE MCKONE SHIVKA
PO BOX 38
SACATON, AZ 85147-0001
Phone number: 602-528-1200
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