Individual
SHANA MORGAN LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147
(520) 562-3321
Mailing address
8572 E INDIAN SCHOOL RD UNIT D, SCOTTSDALE, AZ 85251-4943
(847) 302-7042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-17024
AZ
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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