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1073244224
SHANNON THAYER
MEDFORD, NY
NPI
1073244224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 030715)
Enumeration Date
2022-06-20
Last Update Date
2022-06-20
Business Address
SHANNON THAYER MS, CCC-SLP
3115 HORSEBLOCK RD
MEDFORD, NY 11763-2526
Phone number: 631-730-3039
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Mailing Address
SHANNON THAYER MS, CCC-SLP
225 VANDERBILT LOOP
YAPHANK, NY 11980-2047
Phone number:
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