Individual
SHAWNA C GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8061 E ONZA AVE, MESA, AZ 85212-1654
(402) 505-0747
Mailing address
8061 E ONZA AVE, MESA, AZ 85212-1654
(402) 505-0747
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-17012
AZ
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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