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1760154678
SHANA L MCKISSICK
PHOENIX, AZ
NPI
1760154678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LAC20269)
Enumeration Date
2021-09-29
Last Update Date
2021-09-29
Business Address
SHANA L MCKISSICK MA, LAC
16815 S DESERT FOOTHILLS PKWY STE 134
PHOENIX, AZ 85048-8465
Phone number: 602-550-5221
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Mailing Address
SHANA L MCKISSICK MA, LAC
291 N KENNETH PL
CHANDLER, AZ 85226-2944
Phone number: 480-309-9335
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