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Individual

SHAWNA MACK-MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
13460 N 94TH DR STE M1, PEORIA, AZ 85381-4247
(623) 974-3333
Mailing address
15225 W GEORGIA DR, SURPRISE, AZ 85379-8184
(623) 521-6947

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/04/2020
Last updated
05/04/2020
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