SHANNON T. LICANO

PHOENIX, AZ
NPI1811018427
Former NameSHANNON T. LINLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Additional Taxonomies235Z00000X Speech-Language Pathologist,
Enumeration Date2007-04-02
Last Update Date2014-07-09
Business Address
Mrs. SHANNON T. LICANO
4449 N 12TH ST
PHOENIX, AZ 85014-4520
Phone number: 602-279-1427
Mailing Address
Mrs. SHANNON T. LICANO
PO BOX 16906
PHOENIX, AZ 85011-6906
Phone number: 602-279-1427