Individual
MS. SHANNAN ZELL BOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHT
Contact information
Practice address
3825 N 24TH ST, PHOENIX, AZ 85016-6512
(602) 955-7997
(602) 954-0980
Mailing address
795 SUNSET BLVD, SUITE F, KALISPELL, MT 59901-3699
(406) 260-4181
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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