Individual
MS. SHANNON LARANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
1949 W CHISUM TRL, PHOENIX, AZ 85085-8657
(602) 405-2261
Mailing address
610 E BELL RD STE 2-132, PHOENIX, AZ 85022-2383
(602) 405-2261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCSW-20062
AZ
1041C0700X
Clinical Social Worker
P012375
NC
Other
Enumeration date
06/19/2018
Last updated
06/17/2025
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