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1003308693
SHANNON AMBER KALLSEN
ADDISON, TX
NPI
1003308693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 114495)
Enumeration Date
2018-05-31
Last Update Date
2018-05-31
Business Address
SHANNON AMBER KALLSEN M.S.
15820 ADDISON RD
ADDISON, TX 75001-3549
Phone number: 866-919-3240
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Mailing Address
SHANNON AMBER KALLSEN M.S.
4409 TRAVIS ST APT C
DALLAS, TX 75205-4117
Phone number: 505-385-5571
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