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1891013777
SHILOH LUNDAHL
MESA, AZ
NPI
1891013777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AZ LCSW-13355)
Enumeration Date
2010-05-17
Last Update Date
2015-06-19
Business Address
Mr. SHILOH LUNDAHL LCSW
6402 E SUPERSTITION SPRINGS BLVD SUITE 208
MESA, AZ 85206-4392
Phone number: 480-668-8301
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Mailing Address
Mr. SHILOH LUNDAHL LCSW
3048 E BASELINE RD. STE 108
MESA, AZ 85204
Phone number: 602-492-5055
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