Individual
MS. SHANNON GAMACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3636 N CENTRAL AVE # A104, PHOENIX, AZ 85012-1927
(808) 489-8314
Mailing address
3636 N CENTRAL AVE, PHOENIX, AZ 85012-1927
(480) 848-9831
(602) 241-5756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-18247
AZ
Other
Enumeration date
08/14/2007
Last updated
02/02/2024
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