Kirkwood, Shannette

Kirkwood, Shannette is an sole proprietor health care provider with primary practice located at 12242 N 48Th Dr , Glendale AZ 85304-2207. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kirkwood, Shannette can be contacted via phone (219) 512-4679.

Contact Information

Primary practice address
12242 N 48Th Dr Glendale AZ 85304-2207
Phone: (219) 512-4679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 10782736 Arizona

Profile Details

NPI number 1922695352
LBN Legal business name Kirkwood, Shannette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2020
Last updated Dec 31st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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