Provider Information for 1154718799
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Mrs. AZADEH SHAHRYARINEJAD M.S., LMFT, M.S., LM
Sex: Female
NPI: 1154718799
Last Updated: 2023-06-19
Certification Date: 2023-06-19
Certification Date: 2023-06-19
Details
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NPI | 1154718799 | ||||||||||||||||
Enumeration Date | 2015-04-21 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 2606 FERRARA ST HENDERSON, NV 89044-1797 United States Phone: 585-455-3407 | Fax: | ||||||||||||||||
Primary Practice Address | 2606 FERRARA ST HENDERSON, NV 89044-1797 United States Phone: 585-751-3511 | Fax: | ||||||||||||||||
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