Mrs. Shannon T. Licano
Mrs. Shannon T. Licano is a Speech-Language Pathologist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
4449 N 12th StPhoenix, AZ 85014-4520
Phone: (602) 279-1427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X (AZ) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X |
Record details
| NPI number | 1811018427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 2, 2007 |
| Last updated in NPPES | July 9, 2014 |
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