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Individual

SHIRLEY MAY SUZOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
4201 N 16TH STREET, SUITE 250, PHOENIX, AZ 85016-5347
(602) 248-9247
(602) 248-8936
Mailing address
4201 N 16TH STREET, SUITE 250, PHOENIX, AZ 85016-5347
(602) 248-9247
(602) 248-8936

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT0162
AZ
106H00000X
Marriage & Family Therapist
MFC12980
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
739443
AZ
Enumeration date
12/22/2006
Last updated
07/09/2007
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