SHANNON STANUSH

LYTLE, TX
NPI1124329933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: TX  093738)
Enumeration Date2010-11-10
Last Update Date2010-11-10
Business Address
MRS. SHANNON STANUSH EIS
19965 FM 3175
LYTLE, TX 78052-3481
Phone number: 210-357-0395
Mailing Address
MRS. SHANNON STANUSH EIS
PO BOX 725
LYTLE, TX 78052-0725
Phone number: 210-357-0395
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