Individual
MS. CLAUDE SHUKURU SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2202 N 118TH LN, AVONDALE, AZ 85392-3060
(602) 883-6913
Mailing address
2202 N 118TH LN, AVONDALE, AZ 85392-3060
(602) 883-6913
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D10279545
—
AZ
Enumeration date
02/17/2023
Last updated
05/24/2023
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