Individual
MS. MYESHIA SHENNELL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20839 W MAIN ST, BUCKEYE, AZ 85396-7642
(850) 225-0309
Mailing address
20839 W MAIN ST, BUCKEYE, AZ 85396-7642
(850) 225-0309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-17695
AZ
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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