Individual
LISA SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 867-5223
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW2497
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591033
—
AZ
Enumeration date
12/18/2006
Last updated
12/12/2024
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