Individual
SHANNON FOLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10020 E ISLETA AVE, MESA, AZ 85209-7783
(812) 344-4471
Mailing address
10020 E ISLETA AVE, MESA, AZ 85209-7783
(812) 344-4471
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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