Individual
SHAWNA A. GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
13584 N 144TH DR, SURPRISE, AZ 85379-6191
(602) 819-1807
Mailing address
PO BOX 8988, SURPRISE, AZ 85374-0133
(602) 819-1807
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-10993
AZ
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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