Individual
SHANNON DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W CHERRY AVE APT 105, FLAGSTAFF, AZ 86001-4449
(928) 600-5863
Mailing address
PO BOX 601, FLAGSTAFF, AZ 86002-0601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12349
AZ
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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