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Organization
SHANAZ IKONNE, PLLC
Active
Organization
SHANAZ IKONNE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANAZ SARA IKONNE MA (OWNER)
(469) 626-9085
Entity
Organization
Contact information
Practice address
1021 RANCH ROAD 620 S STE B, LAKEWAY, TX 78734-5611
(469) 626-9085
Mailing address
7500 S IH 35 UNIT 523, AUSTIN, TX 78745-6626
(469) 626-9085
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73271
TX
Other
Enumeration date
08/14/2017
Last updated
08/15/2017
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