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Individual
SHANNON MCQUAID
Active
Individual
SHANNON MCQUAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT LISAC CSAT CDWF
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-1596
AZ
106H00000X
Marriage & Family Therapist
LMFT-10032
AZ
Other
Enumeration date
09/15/2020
Last updated
09/16/2020
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