Individual
LASHONIA SHASHERAH PENNIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 E INDIAN SCHOOL RD STE 350, PHOENIX, AZ 85016-8603
(480) 840-4351
Mailing address
3015 N SCOTTSDALE RD UNIT 4222, SCOTTSDALE, AZ 85251-7262
(480) 840-4351
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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