JACQUALYN D SHANNON

BOWLING GREEN, KY
NPI1114731403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: KY  201237255)
Enumeration Date2025-02-05
Last Update Date2025-02-05
Business Address
JACQUALYN D SHANNON
325 AUDLEY AVE APT 4
BOWLING GREEN, KY 42101-4489
Phone number: 615-423-5017
Mailing Address
JACQUALYN D SHANNON
325 AUDLEY AVE APT 4
BOWLING GREEN, KY 42101-4489
Phone number: 615-423-5017
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