Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SH'REE JUDE
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · LAVEEN, AZ
Registration Details
- NPI Number
- 1851127609
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2024 (1.6163465432514 yrs)
- Last Updated
- Sep 9, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
3545 W MONTE WAYLAVEEN, AZ, 853391414Browse AZ providers · Browse ZIP 85339
- Phone
- 6024865418
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Providers in LAVEEN, AZ
| Name | Credential | NPI |
|---|---|---|
| LANCE CORY DEVERO | — | 1811667173 |
| LATESHA EDMON | — | 1770398638 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.