Individual
SHAWN TODD KEBKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3330 N 2ND ST STE 601, PHOENIX, AZ 85012-2395
(602) 230-7373
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1802415
OH
1041C0700X
Clinical Social Worker
Primary
LCSW-20587
AZ
Other
Enumeration date
06/08/2018
Last updated
02/20/2024
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