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Individual

MRS. SHAWNA NESS SHOVELIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
2021 E WINSTON DR, PHOENIX, AZ 85042-8139
(602) 268-0338
Mailing address
2021 E WINSTON DR, PHOENIX, AZ 85042-8139

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1297
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
569725
AZ
Enumeration date
04/13/2007
Last updated
07/08/2007
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