Individual
MISS SHANNON RENEE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4725 W SOUTH MOUNTAIN AVE, LAVEEN, AZ 85339
(602) 237-7040
(602) 237-3376
Mailing address
5010 E CHEYENNE DR, #1041, PHOENIX, AZ 85044-1770
(614) 403-5159
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
4057121
AZ
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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