Individual
SHANNON RYSZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
310 S EXTENSION RD, MESA, AZ 85210-1292
(219) 561-1180
Mailing address
310 S EXTENSION RD, MESA, AZ 85210-1292
(219) 561-1180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-12537
AZ
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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