Individual
MR. SHILOH LUNDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6402 E SUPERSTITION SPRINGS BLVD, SUITE 208, MESA, AZ 85206-4392
(480) 668-8301
(480) 558-3020
Mailing address
3048 E BASELINE RD. STE 108, MESA, AZ 85204
(602) 492-5055
(480) 558-3020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-13355
AZ
Other
Enumeration date
05/17/2010
Last updated
06/19/2015
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