Shanney Shonttile Porter
Shanney Shonttile Porter is a Child Mental Illness Respite Care in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2007
Practice location Address checks out
4011 W Surrey AvePhoenix, AZ 85029-1949
Phone: (602) 298-6987
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Specialties & licences
| Child Mental Illness Respite Care (primary) | Taxonomy 385HR2055X · Licence 209618 (AZ) |
|---|
Record details
| NPI number | 1326232885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 28, 2007 |
| Last updated in NPPES | August 28, 2007 |
| Mailing address | 4011 W Surrey Ave, Phoenix, AZ 85029-1949 |
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